Please select one of the following options to securely submit your referral information to us.
Option 1: Online Referral (Complete our online referral and upload x-rays)
*If this is your first time submitting an online referral, our system provides you with the option to download a pdf copy for your records.
Option 2: Upload Referral (upload pdf of paper referral and x-rays)
Option 3: Printable Referral
Option 4: Securely send referrals and x-rays to [email protected]
Please select to print our contact information for your patient or if your patient prefers electronic communication, provide their email below and our contact information will be sent directly to them.