Patient Referral Form
Instructions for First Visit
Relax! Our offices are no judgement zones. We will make you feel comfortable throughout your procedure.
Please bring the following to your appointment:
- Referral slip
- Any x-ray your dentist has given you
- Medication list
- Photo ID
- Dental insurance
- Parent or legal guardian if you are under 18 years of age
Please provide us with 48 hours notice if you need to change your appointment time.