Refer A Patient

Patient Referral Form
Patient Name:
Patient Phone:
For evaluation/treatment of tooth # , # , #
Patient's complaint:
Referred by Dr.
Phone: Email:

Patient File Transfer

Use this FTP portal to send us your patient files and x-rays securely and fast. We like to keep things simple and so you can transfer your files from your office to ours very easily. Free of stress and of charge.

WeTransfer is an online file-transferring platform, which basically means that you send it, we receive it. There’s no hassle. No stress. No charge.


Please install Chrome browser to fill form on-line and submit to us. Thank you!