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Referring Doctors
Referring Doctors Form
We would love to assist you in any way with treatment planning for your patients and providing them with specialty care. We place a special emphasis on diagnosing caries and other restorative procedures, and recommending to your patient that these treatments should be done at your office.
To refer patients to our office, download this form and fax it to our office at:
FAX: (719) 548-1252
- Referring Doctors Form (88k PDF file)
Please call if you have any questions or would like additional information. We look forward to working with you and your patients!