FOR REFERRING PROVIDERS
Refer a Patient to Kuzma DDS
A Trusted Partner in Your Patients’ Dental Care
At Kuzma DDS Cosmetic & Implant Dentistry, we believe exceptional patient care starts with strong relationships between dental professionals.
Whether you’re referring a patient for a dental implant consultation, tooth extraction, periodontal treatment, or another dental concern, our team is here to provide attentive, individualized care.
We appreciate the opportunity to work alongside you and support your patients’ ongoing oral health.
REFERRAL PROCESS
How to Submit a Referral
01. Download the Referral Form
Download and complete our referral form with the referring office’s information, patient details, and reason for referral.
02. Include Supporting Records
Please include any relevant records that may assist our team in evaluating your patient’s needs, such as:
- X-rays and radiographs
- Clinical notes
- Medical history
- Periodontal charts
- Previous treatment history
03. Send Your Referral
Email the completed referral form and supporting documents to our front office team. Please include our surgical treatment coordinators in copy.
Submit a Patient Referral
Thank you for choosing Kuzma DDS Cosmetic & Implant Dentistry for your patient’s dental care. We appreciate the trust you place in our team and look forward to working with you to provide the best possible care for your patients.
You can submit a referral using either of the following options:
Option 1: Email Your Referral
Prefer to send your referral directly? Email your completed referral form, along with any relevant supporting documents, to our referral team. You can find the designated email addresses on the downloadable PDF referral form.
Option 2: Complete Our Online Form
For your convenience, you can also submit your referral directly through the online form below. Simply provide the requested information, include any relevant supporting documents, and our team will review your submission.
