standard-title Doctor Referral

Doctor Referral

Referring doctor please print referral slip and provide it to your patient. If a Current panorex is available please email it us at or provide a legible copy to your patient.

Once we have evaluated your patient you will revive a comprehensive report. Please contact us if you have any question or would prefer referral pads.

Thank you for your kind referral.


Doctor Referral Forms


 Craniofacial Pain and TMJ Disorder


Rx Oral Appliance Therapy from MD 

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