Referring Doctors

WE APPRECIATE YOUR TRUST

Your patient is safe in our hands. We take referrals seriously and promise to give your patient the same high level of treatment they’re accustomed to with you.

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OUR SPECIALTY IS

the experience

We know that 5-star dental care includes how patients feel in our space and around our team. We treat each patient like a special guest – because they are!

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OUR SPECIALTY IS

our expertise

Complex cases are Dr. Ku’s jam, and his skills as a dentist are highly regarded by his peers. Plus, we use dentistry’s most advanced technology to ensure efficiency, precision, and a higher level of comfort.

Referral Form

doctor information

PATIENT INFORMATION

RECOMMENDED TREATMENT

*Select as many as needed

WILL THE PATIENT BE RETURNING TO YOUR OFFICE FOR CONTINUING CARE?

*Select as many as needed

ADDITIONAL INFORMATION

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