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Office Referrals

Patient Information

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Patient will receive an email confirmation of this referral.

Referring Doctor Information

You will receive an email confirmation of this referral for your records.

Oral Surgery

Dental Implant Soft Tissue / Bone Grafting Third Molars Extractions (see tooth chart below) Oral Pathology - Biopsy Preprosthetic / Alveoloplasty Orthognathic / Sleep Apnea Oral & Facial Trauma Infection / Incision & Drainage Exposure & Bonding

Endodontics

Endodontic Consultation CT Imaging Non-Surgical Endodontic Treatment Surgical Endodontic Treatment Endodontic Retreatment Post Space Close Access

Periodontics

Dental Implant LANAP / Laser Perio Crown Lengthening Soft Tissue / Bone Grafting Periodontal Evaluation

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Anesthesia

Patients requiring General Anesthetic or I.V. Sedation are seen for consultation prior to procedure

Local Anesthetic I.V. Sedation Nitrous Oxide

Surgical Template

Extractions Teeth 1

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

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32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17

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Extractions Teeth 2

A B C D E F G H I J

R L

T S R Q P O N M L K

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Doctor's Notes

“He has the best staff; they are very courteous and caring”

Judy Smith,

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