Online Referral Form
You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.
Patient x-rays (full fmx, pano, bws, ctscan and pas) should be emailed to us at [email protected] before their scheduled appointment/at time of your referral or given to the patient to be brought to their first visit in order to be seen.