Referring Doctors – Online Referral Forms

Thank you for trusting the care of your patient to Avos Dental Specialists. We sincerely appreciate the referral and do everything we can do give them the best experience possible.

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.

Online Oral surgery Referral Form

Oral Surgery Referral Form

Online Endodontic Referral Form

Endodontic Referral Form

If you have any questions about our office, or would like to discuss patient care, please contact Dr. Haupt at [email protected].