Thank you for choosing our office for your pediatric dentistry referral. You may refer patients to our office by filling out the referral form and emailing it or faxing it to our office. You can also print it out for the patient to bring to our office.
If you need to send us digital radiographs, please email those to email@example.com in JPEG or TIFF format and include the patient's name and the date the radiographs were taken. We want to ensure we have all of the information necessary when your patient arrives for their appointment.
As always, you may also call our office to schedule your patient if that is more convenient for you. Please inform the parent/guardian that our new patient paperwork is available to print from our website on the Forms page.
Please fill out and email or fax to our office at 510-724-4402
Please include the patient's name and the date the radiographs were taken
We understand that sometimes it's just easier to make a phone call!