For Referring Offices
We value our partnerships with local specialists and make the referral process simple. To refer a patient to Neosmiles Dental Care, please download and complete our referral form. Once filled out, you can return the form to our office by email or send it along with your patient at their scheduled visit.
How the referral works
Three steps, no phone tag. Most referrals are scheduled within one business day of receiving the form.
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Download and complete
Fill the form in on screen or print it. Include the tooth chart and any clinical findings that help us prepare.
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Send it to us
Email the completed form to our office, or send it along with your patient at their scheduled visit.
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We take it from there
We confirm the appointment, treat within the scope of general dentistry, and keep you informed about your patient.
What you can refer for
We welcome referrals for comprehensive dental care within the scope of general dentistry, for children and adults alike.
Discuss a case with us- Comprehensive Exam / Second Opinion
- Dental Care for Children
- Preventive Care
- Restorative Dentistry
- Crowns & Bridges
- Root Canal Therapy
- Extractions / Oral Surgery
- Periodontal Therapy
- Implant Dentistry
- Orthodontic Evaluation
- Nitrous Oxide Analgesia
- Cosmetic Dentistry
- Emergency Dental Care
Thank you for trusting us with your patients’ care
We look forward to collaborating with you to provide the best outcomes.