Referring Doctors

Online Referral Form

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 Submit 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.


Download Our Referral Form

Resources for Referring Doctors

The following websites are provided as a resource for our referring doctors. This page contains hyperlinks to World Wide Web sites that are created and maintained by other organizations. We have included these links because we think that our referring doctors may find them of interest. Keep in mind that Portland Oral & Maxillofacial Surgery Center does not necessarily endorse the views expressed on these websites. Also, we do not guarantee the accuracy or completeness of any information presented on these sites.



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