We believe that the preferred course of action to achieve the best possible treatment results for our patients is to have an open communication with the patient’s referring dentist. Thus, the following Referral form serves as the means to facilitate a succinct and accurate review of the patient’s current dental situation prior to his/her visit to our office for endodontic consultation and treatment.
You need Adobe Acrobat Reader to view and print our forms. Please download the free Acrobat Reader from Adobe’s web site, if it is not already installed on your computer system.
American Association of Endodontists – national organization representing the specialty of endodontics or root canal treatment.