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For Referring Doctors

Refer a patient

Thank you for trusting us with your patients. Complete the secure referral form below and our team will contact your patient promptly — and keep you informed at every step.

Prompt scheduling

Your patient is contacted within one business day of referral.

Specialist co-management

Detailed reports back to your office; the patient returns to your care.

Advanced diagnostics

3D CBCT imaging and guided surgery for predictable outcomes.

Doctor Referral Form

Fields marked * are required.

Purpose of Referral (select at least one)
Radiographs
Appointment

Prefer to call? Reach our referral coordinator at (954) 981-0012.