Online Referral Form

Oral Surgery Patient Referrals: Savannah and Rincon GA

COVID-19 Update: We have reopened for regular appointments, as well as for emergency and essential dental care. If you are experiencing dental pain or a dental infection, or otherwise believe you need emergency dental care, please contact us before seeking care in an emergency room to help keep local hospital beds free for COVID-19 patients. We appreciate your understanding and look forward to serving you.

For assistance, please call us in Savannah Savannah Location Phone Number 912-354-1515 and Rincon Rincon Location Phone Number 912-295-5199

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. You may then securely upload and transmit images for the patient referral.

Savannah Office
Online Referral Form

Rincon Office
Online Referral Form

The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.