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Refer a Patient

For Referring Doctors

Thank you for contacting Oral Facial Surgery Institute. It is our pleasure to serve you and your patients. You may refer patients to our office by filling out our Referral Form and submitting it online. Additionally, you may upload x-rays directly to our office over the internet. Please follow the directions on the x-ray submission form, and browse your computer directory to attach the appropriate file(s).

The security and privacy of personal data and protected health information is one of our primary concerns. We have taken every precaution to encrypt and protect it. We appreciate the confidence you have placed in us. It is our goal to provide the finest diagnostic, surgical, and post-operative care to patients in our mutual care.

Secured form for referral submission and x-ray upload coming soon.

Click here for a print version of our referral form.