Referring Doctors
Thank you for allowing us to be a part of your dental team. We welcome New Patients and value the trust you place in us to take care of your patients.
Periodontal Referral:
Periodontal Referral Form 2019 can be sent electronically or printed and mailed. Please click on the link and the form will open.
Instructions to send electronically: Please fill out the form electronically then:
- click on file and click “send to”. Clicking “send to” launches your email program. You will then be able to enter our email address ([email protected]) and send the form as an attachment to us.
- OR: click on “save as” to save the file first then attach it to an email [email protected]
Referral and Information Brochure: Referral Brochure Granite State Periodontics
Feel free to attach any additional referral information you think may be beneficial for us to better help your patient
Oral and Maxillofacial Surgery Referral:
Oral Surgery Referral can be sent electronically or printed and mailed. Please click on the link “Referral Form” and the form will open.
Instructions to send electronically: Please fill out the form electronically then:
- click on file and click “send to”. Clicking “send to” launches your email program. You will then be able to enter our email address ([email protected]) and send the form as an attachment to us.
- OR: click on the file and click “save as” to save the file first then attach it to an email [email protected]
Feel free to attach any additional referral information you think may be beneficial for us to better help your patient