MAKING THE WORLD A BETTER PLACE, ONE SMILE AT A TIME.

Contact THE Elgin Team

We’re so glad you found us. We can’t wait to hear from you!

Contact
THE Elgin Team

We’re so glad you found us. We can’t wait to hear from you!

Patients Contact Request Form

Please feel free to drop us a note. We will get back to you as soon as possible!

Contact US

Phone: 541-756-3181
Email: gina@elginortho.net
Address: 2901 BROADWAY
NORTH BEND, OR
Hours: MON – THURS 8 – 5

Elgin Orthodontics

Referring Doctors

New Patient Referral Form

Please indicate patient's current oral health status:

No active oral disease. Ready to begin orthodontic treatment at this time.Oral health concerns are present that need to be addressed prior to start orthodontic treatment (check all that apply):
Restorative ConcernsPeriodontal Concerns
Other Concerns

Please indicate any specific concerns to be evaluated:

General Orthodontic EvalSmile EstheticsCrowdingSpacingExcessive OverjetDeep OverbiteAnterior Open BitePosterior Open BiteClass II MalocclusionClass III MalocclusionAnterior CrossbitePosterior CrossbiteFunctional shiftImpacted TeethMissing TeethOral Habits

Pertinent Radiographs and/ or Clinical Photographs

Are Included With ReferralWill be Sent SeparatelyAre Not Available

Upload Clinical Images



New Patient Referral Form

Please indicate patient's current oral health status:

No active oral disease. Ready to begin orthodontic treatment at this time.Oral health concerns are present that need to be addressed prior to start orthodontic treatment (check all that apply):
Restorative ConcernsPeriodontal Concerns
Other Concerns

Please indicate any specific concerns to be evaluated:

General Orthodontic EvalSmile EstheticsCrowdingSpacingExcessive OverjetDeep OverbiteAnterior Open BitePosterior Open BiteClass II MalocclusionClass III MalocclusionAnterior CrossbitePosterior CrossbiteFunctional shiftImpacted TeethMissing TeethOral Habits

Pertinent Radiographs and/ or Clinical Photographs

Are Included With ReferralWill be Sent SeparatelyAre Not Available

Upload Clinical Images



"Amazing Staff and Results!"

"Amazing staff and results! I would recommend them to anyone! They turned my "war-zone" of a mouth into beautiful straight teeth. I couldn't have asked for better results." -J. Scolari (via Facebook)

"Dr. Elgin Even Called Me..."

"Daughter has been going here for a couple years. Dr. Stephenson was great. Had to rig up an unusual way to pull her 7-year molar from the roots of the tooth in front of it. Space maintainers held everything in place. Yesterday she received her braces from Dr. Elgin. Awesome job from him and his staff. They are so caring. My daughter is super shy and gets really timid when she's nervous. "By the end of it all, she was smiling and talking to everyone. Dr. Elgin even called me last night to make sure she was doing ok and to see if we had any questions or concerns. Top notch service and quality. Would rate them a million stars if I could. My son will be going here if he needs braces too." -K. Nordquist (via Facebook)

"My Daughter Loves Dr. Elgin and His Staff"

"My daughter just loves Dr. Elgin and his staff. Such a great group of people. We highly recommend them." -R. Crawford (via Facebook)
Elgin Orthodontics | Coos Bay, OR