Minors must be accompanied by a parent or guardian at the first appointment.
We encourage you to bring recent X-rays from your dentist’s office or email them to firstname.lastname@example.org. Please note that additional X-rays will be needed for comparison.
Download Referral Form
Please print and fill out this referral slip and bring it to our office on your next visit.
We ensure the best possible care by working as a coordinated team with your primary provider. With your permission, we will forward your dental records and X-rays and communicate any relevant information regarding your dental health.