Referral FormS

Traditional Referral Form

As a referral-based practice, we rely heavily on good communication between the general dentist’s office and our offices to ensure that our patients receive the highest quality of care. Most dental offices have our referral forms present in their office; however, if your office has run out of our referral forms, please contact us for a new supply of forms at:

Renton: 425-235-4266

Burien: Burien Office Phone Number 206-248-3035 

West Seattle: 206-938-8572

Sammamish: 425-295-7300

We appreciate you entrusting your patients to us. We strive to do the very best in regards to the patients and the superior care we are committed to giving.

Online Referral Form

You may also refer patients to our office by filling out our secure Online Referral Form (below). After you have completed the form, please make sure to press the Complete and Send 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.

Communication Matters

While you’re here, please sign up for Communication Matters*, our electronic newsletter (via Constant Contact®) designed to share practice updates, periodic surveys, and event invitations. Click on the Join Our Email List button below for email you can trust. *All confidential patient information and documentation transactions will remain the same. This is for promotional purposes only.

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