{"id":8960,"date":"2019-11-06T16:31:48","date_gmt":"2019-11-06T16:31:48","guid":{"rendered":"https:\/\/www.pediatricdentisteugene.com\/?page_id=8960"},"modified":"2022-02-17T15:29:54","modified_gmt":"2022-02-17T15:29:54","slug":"referral-form","status":"publish","type":"page","link":"https:\/\/www.pediatricdentisteugene.com\/referral-form\/","title":{"rendered":"Referral Form"},"content":{"rendered":"

[et_pb_section fb_built=”1″ admin_label=”Header” _builder_version=”3.22″ background_color=”#ffffff” custom_padding=”0px||0px|” global_module=”7015″ locked=”off” collapsed=”off” global_colors_info=”{}”][et_pb_row column_structure=”1_3,1_3,1_3″ make_equal=”on” _builder_version=”3.25″ max_width=”1080px” custom_padding=”7px||7px|” global_colors_info=”{}”][et_pb_column type=”1_3″ _builder_version=”3.0.47″ background_position=”top_left” custom_padding=”|||” custom_css_main_element=”margin: auto 0;” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web.png” url=”\/” align_tablet=”center” align_phone=”” align_last_edited=”on|desktop” _builder_version=”3.23″ animation_style=”slide” animation_direction=”left” animation_duration=”500ms” animation_intensity_slide=”10%” sticky=”off” border_style=”solid” global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”3.0.47″ background_position=”top_left” custom_padding=”|||” custom_padding_tablet=”25px|||” custom_padding_phone=”” custom_padding_last_edited=”on|phone” custom_css_main_element=”margin: auto 0;” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”3.27.4″ text_font=”|700||on|||||” text_text_color=”#5eb548″ text_font_size=”18″ text_orientation=”center” background_layout=”dark” module_alignment=”center” custom_margin=”||5px|” border_style=”solid” global_colors_info=”{}”]<\/p>\n

Let’s Connect!<\/p>\n

[\/et_pb_text][et_pb_social_media_follow module_class=”centered-social” _builder_version=”3.22.6″ z_index_tablet=”500″ link_shape=”rounded_rectangle” global_colors_info=”{}”][et_pb_social_media_follow_network social_network=”facebook” url=”https:\/\/www.facebook.com\/Oregon-Kids-Pediatric-Dentistry-Dr-Jordan-Lentfer-1955351861220096\/” _builder_version=”3.19.4″ background_color=”#3b5998″ bg_color=”#3b5998″ global_colors_info=”{}” follow_button=”off” url_new_window=”on”]Facebook[\/et_pb_social_media_follow_network][et_pb_social_media_follow_network social_network=”instagram” url=”https:\/\/www.instagram.com\/drjordanlentfer_okpd\/” _builder_version=”3.19.4″ background_color=”#ea2c59″ global_colors_info=”{}” follow_button=”off” url_new_window=”on”]instagram[\/et_pb_social_media_follow_network][\/et_pb_social_media_follow][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”3.0.47″ background_position=”top_left” custom_padding=”|||” custom_padding_tablet=”25px|||” custom_padding_phone=”” custom_padding_last_edited=”on|phone” custom_css_main_element=”margin: auto 0;” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”3.27.4″ text_font=”|700||on|||||” text_text_color=”#5eb548″ text_font_size=”18″ text_orientation=”center” background_layout=”dark” module_alignment=”center” custom_margin=”||0px|” border_style=”solid” global_colors_info=”{}”]<\/p>\n

Call Us Today<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=”3.27.4″ text_font=”|on|||” text_text_color=”#1296e4″ text_font_size=”34″ text_orientation=”center” background_layout=”dark” module_alignment=”center” custom_margin=”0px||2%|” custom_padding=”||10px” border_style=”solid” global_colors_info=”{}”]<\/p>\n

(541) 636-4344<\/a><\/p>\n

[\/et_pb_text][et_pb_button button_url=”\/request-an-appointment\/” button_text=”Request An Appointment” button_alignment=”center” _builder_version=”4.13.0″ custom_button=”on” button_text_size=”16″ button_text_color=”#ffffff” button_bg_color=”#5eb548″ button_border_width=”0″ button_icon=”||divi||400″ button_icon_color=”#ffffff” button_icon_placement=”left” button_on_hover=”off” background_layout=”dark” button_letter_spacing_hover=”0″ button_bg_color_hover=”#45933b” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”on” button_letter_spacing__hover=”0″ button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”on” button_bg_color__hover=”#45933b” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ fullwidth=”on” disabled_on=”||off” _builder_version=”3.22″ global_module=”7017″ locked=”off” global_colors_info=”{}”][et_pb_fullwidth_menu menu_id=”8″ submenu_direction=”downwards” fullwidth_menu=”off” active_link_color=”#5eb548″ dropdown_menu_bg_color=”#ffffff” dropdown_menu_line_color=”#5eb548″ dropdown_menu_text_color=”#5eb548″ mobile_menu_bg_color=”#ffffff” mobile_menu_text_color=”#5eb548″ disabled_on=”off|off|” admin_label=”Full Menu” module_id=”menu-to-hide” _builder_version=”3.22.2″ menu_font=”|700||on|||||” menu_text_color=”#ffffff” menu_font_size=”16px” background_color=”#5eb548″ text_orientation=”center” background_layout=”dark” z_index_tablet=”500″ global_colors_info=”{}”][\/et_pb_fullwidth_menu][et_pb_fullwidth_code disabled_on=”||on” _builder_version=”3.22.2″ background_color=”#5eb548″ text_orientation=”center” custom_padding=”19px||15px|” z_index_tablet=”500″ global_colors_info=”{}”]<\/i><\/a>[\/et_pb_fullwidth_code][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.0.5″ global_colors_info=”{}”][et_pb_row _builder_version=”4.0.5″ global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.0.5″ global_colors_info=”{}”][et_pb_text _builder_version=”4.14.7″ hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

\"\"<\/h2>\n

Jordan Lentfer, DMD<\/strong><\/h2>\n

2921 Cresent Ave, S130 – Eugene, OR 97408<\/a>
Phone: 541-636-4344<\/a> Fax: 541-636-4229
Email: Office@oregonkidspediatricdentistry.com
Website: oregonkidspediatricdentistry.com<\/p>\n

\"\"<\/p>\n

[\/et_pb_text][et_pb_dcgd_gravity_divi_module gf_form=”3″ show_title=”off” show_description=”off” _builder_version=”4.4.7″ custom_dcgm_button=”on” dcgm_button_text_color=”#ffffff” dcgm_button_bg_color=”#5eb548″ dcgm_button_border_radius=”10px” global_colors_info=”{}”][\/et_pb_dcgd_gravity_divi_module][et_pb_text _builder_version=”4.0.5″ global_colors_info=”{}”]<\/p>\n

Thank you for your referral! We appreciate your trust!<\/strong><\/h3>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

Let’s Connect!Call Us Today(541) 636-4344 Jordan Lentfer, DMD 2921 Cresent Ave, S130 – Eugene, OR 97408Phone: 541-636-4344 Fax: 541-636-4229Email: Office@oregonkidspediatricdentistry.comWebsite: oregonkidspediatricdentistry.com Thank you for your referral! We appreciate your trust!<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"dipi_cpt_category":[],"yoast_head":"\nDentist Patient Referral in Eugene, OR | Oregon Kids Pediatric Dentistry<\/title>\n<meta name=\"description\" content=\"Need to refer a patient? At Oregon Kids Pediatric Dentistry, we appreciate your trust and strive to provide an excellent service in Eugene, OR. Make a referral today!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pediatricdentisteugene.com\/referral-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dentist Patient Referral in Eugene, OR | Oregon Kids Pediatric Dentistry\" \/>\n<meta property=\"og:description\" content=\"Need to refer a patient? At Oregon Kids Pediatric Dentistry, we appreciate your trust and strive to provide an excellent service in Eugene, OR. Make a referral today!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.pediatricdentisteugene.com\/referral-form\/\" \/>\n<meta property=\"og:site_name\" content=\"Oregon Kids Pediatric Dentistry\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Oregon-Kids-Pediatric-Dentistry-Dr-Jordan-Lentfer-1955351861220096\/\" \/>\n<meta property=\"article:modified_time\" content=\"2022-02-17T15:29:54+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web-300x120.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.pediatricdentisteugene.com\/referral-form\/\",\"url\":\"https:\/\/www.pediatricdentisteugene.com\/referral-form\/\",\"name\":\"Dentist Patient Referral in Eugene, OR | Oregon Kids Pediatric Dentistry\",\"isPartOf\":{\"@id\":\"https:\/\/www.pediatricdentisteugene.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.pediatricdentisteugene.com\/referral-form\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.pediatricdentisteugene.com\/referral-form\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web-300x120.png\",\"datePublished\":\"2019-11-06T16:31:48+00:00\",\"dateModified\":\"2022-02-17T15:29:54+00:00\",\"description\":\"Need to refer a patient? At Oregon Kids Pediatric Dentistry, we appreciate your trust and strive to provide an excellent service in Eugene, OR. Make a referral today!\",\"breadcrumb\":{\"@id\":\"https:\/\/www.pediatricdentisteugene.com\/referral-form\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.pediatricdentisteugene.com\/referral-form\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.pediatricdentisteugene.com\/referral-form\/#primaryimage\",\"url\":\"https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web.png\",\"contentUrl\":\"https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web.png\",\"width\":500,\"height\":200},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.pediatricdentisteugene.com\/referral-form\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.pediatricdentisteugene.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Referral Form\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.pediatricdentisteugene.com\/#website\",\"url\":\"https:\/\/www.pediatricdentisteugene.com\/\",\"name\":\"Oregon Kids Pediatric Dentistry\",\"description\":\"Dr. Jordan Lentfer\",\"publisher\":{\"@id\":\"https:\/\/www.pediatricdentisteugene.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.pediatricdentisteugene.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.pediatricdentisteugene.com\/#organization\",\"name\":\"Oregon Kids Pediatric Dentist\",\"url\":\"https:\/\/www.pediatricdentisteugene.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.pediatricdentisteugene.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web.png\",\"contentUrl\":\"https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web.png\",\"width\":500,\"height\":200,\"caption\":\"Oregon Kids Pediatric Dentist\"},\"image\":{\"@id\":\"https:\/\/www.pediatricdentisteugene.com\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/Oregon-Kids-Pediatric-Dentistry-Dr-Jordan-Lentfer-1955351861220096\/\",\"https:\/\/www.instagram.com\/drjordanlentfer_okpd\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Dentist Patient Referral in Eugene, OR | Oregon Kids Pediatric Dentistry","description":"Need to refer a patient? At Oregon Kids Pediatric Dentistry, we appreciate your trust and strive to provide an excellent service in Eugene, OR. Make a referral today!","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.pediatricdentisteugene.com\/referral-form\/","og_locale":"en_US","og_type":"article","og_title":"Dentist Patient Referral in Eugene, OR | Oregon Kids Pediatric Dentistry","og_description":"Need to refer a patient? At Oregon Kids Pediatric Dentistry, we appreciate your trust and strive to provide an excellent service in Eugene, OR. Make a referral today!","og_url":"https:\/\/www.pediatricdentisteugene.com\/referral-form\/","og_site_name":"Oregon Kids Pediatric Dentistry","article_publisher":"https:\/\/www.facebook.com\/Oregon-Kids-Pediatric-Dentistry-Dr-Jordan-Lentfer-1955351861220096\/","article_modified_time":"2022-02-17T15:29:54+00:00","og_image":[{"url":"https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web-300x120.png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.pediatricdentisteugene.com\/referral-form\/","url":"https:\/\/www.pediatricdentisteugene.com\/referral-form\/","name":"Dentist Patient Referral in Eugene, OR | Oregon Kids Pediatric Dentistry","isPartOf":{"@id":"https:\/\/www.pediatricdentisteugene.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.pediatricdentisteugene.com\/referral-form\/#primaryimage"},"image":{"@id":"https:\/\/www.pediatricdentisteugene.com\/referral-form\/#primaryimage"},"thumbnailUrl":"https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web-300x120.png","datePublished":"2019-11-06T16:31:48+00:00","dateModified":"2022-02-17T15:29:54+00:00","description":"Need to refer a patient? At Oregon Kids Pediatric Dentistry, we appreciate your trust and strive to provide an excellent service in Eugene, OR. Make a referral today!","breadcrumb":{"@id":"https:\/\/www.pediatricdentisteugene.com\/referral-form\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.pediatricdentisteugene.com\/referral-form\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.pediatricdentisteugene.com\/referral-form\/#primaryimage","url":"https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web.png","contentUrl":"https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web.png","width":500,"height":200},{"@type":"BreadcrumbList","@id":"https:\/\/www.pediatricdentisteugene.com\/referral-form\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.pediatricdentisteugene.com\/"},{"@type":"ListItem","position":2,"name":"Referral Form"}]},{"@type":"WebSite","@id":"https:\/\/www.pediatricdentisteugene.com\/#website","url":"https:\/\/www.pediatricdentisteugene.com\/","name":"Oregon Kids Pediatric Dentistry","description":"Dr. Jordan Lentfer","publisher":{"@id":"https:\/\/www.pediatricdentisteugene.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.pediatricdentisteugene.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.pediatricdentisteugene.com\/#organization","name":"Oregon Kids Pediatric Dentist","url":"https:\/\/www.pediatricdentisteugene.com\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.pediatricdentisteugene.com\/#\/schema\/logo\/image\/","url":"https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web.png","contentUrl":"https:\/\/www.pediatricdentisteugene.com\/wp-content\/uploads\/2017\/07\/Oregon-Kids-Logo-Web.png","width":500,"height":200,"caption":"Oregon Kids Pediatric Dentist"},"image":{"@id":"https:\/\/www.pediatricdentisteugene.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/Oregon-Kids-Pediatric-Dentistry-Dr-Jordan-Lentfer-1955351861220096\/","https:\/\/www.instagram.com\/drjordanlentfer_okpd\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.pediatricdentisteugene.com\/wp-json\/wp\/v2\/pages\/8960"}],"collection":[{"href":"https:\/\/www.pediatricdentisteugene.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pediatricdentisteugene.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pediatricdentisteugene.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pediatricdentisteugene.com\/wp-json\/wp\/v2\/comments?post=8960"}],"version-history":[{"count":5,"href":"https:\/\/www.pediatricdentisteugene.com\/wp-json\/wp\/v2\/pages\/8960\/revisions"}],"predecessor-version":[{"id":10056,"href":"https:\/\/www.pediatricdentisteugene.com\/wp-json\/wp\/v2\/pages\/8960\/revisions\/10056"}],"wp:attachment":[{"href":"https:\/\/www.pediatricdentisteugene.com\/wp-json\/wp\/v2\/media?parent=8960"}],"wp:term":[{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"https:\/\/www.pediatricdentisteugene.com\/wp-json\/wp\/v2\/dipi_cpt_category?post=8960"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}