Online Doctor Referral Form

Dentists Referring Patients for Oral Surgery Services in Salem Oregon

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.

Call Oral Surgery Office in Salem Phone Number 503-581-0223 with questions or to make an appointment

Online referral form