Refer a Patient

Fill out our form below to refer a patient, or use our referral app.

We appreciate you trusting us with your patients. A referral from your office with what you would like our team to evaluate and treat is a critical part of a patients first visit to us. We can also use it to contact your patient to get them scheduled quickly. If you have any questions please don’t hesitate to contact us.

Patient consulting with oral surgeon during exam at Austin Oral Surgery in Austin, TX

Patient Referral Form

Download Form

Click here to view our HIPAA Policy for the Referral App.