Refer an Oral and Facial Surgery Patient

Oral Surgery Referral Form

Our online patient referral process allows your patients to be seen quickly and efficiently. For those seeking dental clearance, OMFS can provide documentation confirming that teeth were extracted. However, official dental clearance must be obtained from a general dentist.

How to Refer a Patient

1. Use our Secure and Encrypted Referral Form

2. Remember to include radiographs, clinic notes and patient information - including medical and dental insurance information

3. After submitting the form, you will receive a confirmation email stating the referral was received. This document is for your records.