Patient referrals from general dentists, oral surgeons, endodontists, prosthodontists and orthodontists are welcomed. If you'd like to refer one of your patients to our office for an examination, please complete our online referral form. Thank you for your support in our dental implant and periodontic practice.
PRINTED REFERRAL FORM
You may also use our printed form when you need to refer your patient to us. You may enter the information and save to encrypted email or print to fax. Send completed referral forms by fax to 425-637-8704 or email firstname.lastname@example.org.