Online Patient Referral Form
At Oral & Facial Surgery Center, we value our relationships with referring dental practices and are proud to partner with you in providing excellent oral healthcare to our community.
You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it. Please call if you have questions: Oral & Facial Surgery Center, LTD. Phone Number 815-877-0694.
To achieve a high level of trust with our shared patients, we:
- Review cases thoroughly in advance
- Refer back to your office for restorations
- Collaborate with you on treatment plans
- Are available in an advisory role if requested
- Offer accommodating scheduling
- Provide timely assessments and imaging
We have a selection of tools and resources assembled here such as our referral form and links to articles you may find interesting. If you have any questions about our practice, please call us at Oral & Facial Surgery Center, LTD. Phone Number 815-877-0694.
Above all, we want to thank you for your referral of our office.