Home
Who We Are
The Docs
The Team
The Office
Transformations
Gallery
Testimonials
Resources
Treatments
Patient Resources
(512) 338 - 1118
Book Now
Pricing
Contact Us
Contact Us
Refer a Patient
(512) 338 - 1118
Request an Appointment Now
Refer a Patient
Are you a doctor looking to refer your patient?
We Are Here to Help!
Locations
Arboretum Location :
11410 Jollyville Rd. Suite 2102 Austin, TX 78759
Westlake Location:
6414 W. Bee Caves Rd. Suite A Austin, TX 78746
Email
info@rouchortho.com
Phone
(512) 338-1118
1) Referring Provider Information
Your Name
Your Email Address
Your Practice/Organization
Your Phone Number
2) Patient Information
Patient Name
Patient DOB
Patient Phone
Patient Email
Communication Consent
3) Preferred Location & Provider
Location
Select a Location
Any Location
Arboretum Office
Westlake Office
Provider
Select a Provider
Any Provider
Arun Bala DDS, MS
Barry Rouch D.D.S., M.S.
Severity
Select a Severity
Normal
Time Sensitive
Urgent
Reason
Notes
Your message has been submitted.
We will get back to you within 24-48 hours.
Oops! Something went wrong.