Please complete the scheduling form below. Where is says "Your Information," please input the patient's name and information.

We will contact the patient to confirm their appointment.

Once appointment is completed, patient records will be sent to you via our preferred HIPAA compliant portal DSCore.

Prefer paper referral form click here to download.

Optional: To download and print Records Release click here and for Patient Consent click here

    • CBCT 3D Imaging

      15 minutes

    • Digital Intraoral Impression

      15 minutes

    • CBCT 3D Imaging and Digital Intraoral Impression

      30 minutes

    • Comprehensive Implant Planning and Guide

      30 minutes

      Package includes 3D CBCT, full-service implant planning, and surgical guide