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

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.

4. Once the consultation and/or procedure is complete, your office will receive a follow-up email or letter describing our findings and treatments rendered.