Online Referral Form

COVID-19 Update: We remain open for emergency and essential dental care at select practices during the coronavirus crisis. 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. Please note that practice hours may vary. We appreciate your understanding and look forward to serving you again soon

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

Savannah Office
Online Referral Form

Pooler Office
Online Referral Form

Rincon Office
Online Referral Form