Submit Referral Online Here
You may refer patients to our office by filling out our secure online Referral Form (blue box) below. 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 take every precaution to protect it upon receipt.
Emailing Images to NJ Center for Oral Surgery
To refer your patient to us simply send us an email to firstname.lastname@example.org with the patients name, telephone number, and reason for referral. Within one business day, we will call your patient to schedule an appointment.
You may also print the referral form below and fax it to us a 973-226-7876 or give it to your patient.
We look forward to helping your patient.