For Doctors

    Refer a Patient

    Thank you for trusting us with your patients. Once we receive your referral, our team will contact the patient within 1 business day, and after the visit we'll send a report back to your office.

    Referring office

    First and last name, without "Dr." (e.g. Jane Smith)

    10-digit number

    Patient

    10-digit number

    Referral details

    Reason for referral

    Urgency

    Attachments

    X-rays, perio charts, photos — images or PDFs, up to 20 MB each.