For Referring Dentists

Refer a patient. We'll take it from here.

Submit a referral and we'll contact your patient within one business day. Every patient returns with a detailed treatment report, imaging, and follow-up recommendations.

Referring Practice

Doctor Name *

Practice Name *

Practice Phone *

Patient Information

Patient Name *

Patient Phone *

Tooth #

Urgency *

Reason for Referral *

Additional Notes

What Happens Next

We contact your patient within one business day to schedule their appointment. For emergencies, we make every effort to see the patient same-day.

After Treatment

Your office receives a detailed report including findings, treatment performed, radiographs, and restoration recommendations. We never compete for your patients — we partner with you.

Prefer to Call?

Call us directly at (512) 000-0000 and our staff will take the referral by phone.

Emergency Cases

For dental trauma or severe pain requiring same-day treatment, please call (512) 000-0000 directly for fastest coordination.