We appreciate the confidence you have placed in us and allowing our practice to be a part of your patient’s care needs. Our goal is to create a seamless transition between our practices while the patient is undergoing treatment. Typically, patients are seen first for an examination and their surgery will be scheduled for a subsequent visit. We feel this first appointment is important to establish trust, answer questions and to reinforce your treatment suggestions to the patient.
Please fill out the form below and our new patient coordinator will be touch for scheduling. We have found that the highest referral follow-through process happens when patients are scheduled while in your office. If you have any questions, concerns or suggestions feel free to let us know. We look forward to hearing from you.
I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act.