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Referring doctors.

Thank you for trusting us with your patients. Referring is simple, and we will keep you informed about the care we provide.

Download the referral formEmail our office

How to refer

Three simple steps.

Patient referral formFillable PDF · 1 page · Opens in a new tab
  1. Download the patient referral form.
  2. Complete the referring doctor, patient and reason for referral sections.
  3. Email the completed form and any recent X rays to PaloAltoOralHealth@outlook.com.

The security and privacy of patient information is one of our primary concerns, and we take every precaution to protect it. Questions? Call (650) 321-9693.

New patients welcome

We look forward to meeting you.

Call, text or request an appointment online. We will help you choose a time.

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Visit

2875 Middlefield Road, Suite 1
Palo Alto, CA 94306

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Hours

Monday to Friday
8 a.m. to 5 p.m.