Refer to Us

As a provider, we understand that your time is valuable. You may prefer to refer your patients to one of our dental only ambulatory surgery centers and allow them to see one of our in-center providers for treatment under general sedation. We can certainly accommodate this and make sure your patient returns to your care, providing full details of all treatment rendered. 

Please fill out the following form and our Patient Care Navigator will be in touch with any questions, or will reach out directly to the patient if all details are provided. Thank you for partnering with us for the safety and care of your patients.

PATIENT REFERRAL FORM