Many of our clinics require a referral from your outside provider. The forms can be sent via secure email, FAXED, or mailed to the address listed on each form. Please consult our referral email policy before sending any patient information via regular email. The referral form will indicate if you need to include readiographic images.
FAX: 206-543-0063 | 206-543-5800
FAX: 206-616-8545 | 206-685-8258
Endodontic Referral Form (PDF)
FAX: 206-616-7251 |206-685-3591