转诊患者

把转诊发给我们,团队会直接与您协调护理。

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Looking To Refer A Patient To Our Office?

Thank you for the confidence you have placed in our care. We look forward to providing your patient with excellent care and service!

Patient Information

Referring Doctor Information

Reasons For Consultation

Sleep Dentistry

oral surgery

Dental Implants

Please check Teeth / Areas to be evaluated

Upper Right

Upper Left

Lower Right

Lower Left

Primary Teeth

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Additional Notes

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申请早6点回电

新患者接诊于早6点重新开放。留下联系方式,诊所开门后我们会回电。