Referring Doctors

For the convenience of our referring doctors, the following form can be used to make referrals to our office. Once printed and filled out, the form can be faxed to us at (940) 387-4636, or emailed with digital copies of the radiographs to Denton.Endodontics@gmail.com. Although we prefer to have this information prior to the patient’s visit, the form and radiographs can also be given to the patient to bring with them to their appointment if needed.

Referring Doctor Form