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Surgical Instructions

 

   Patient Information
Please assist us by providing the following information at the time of your consultation:

 
  • Your surgical referral slip and any X-rays if applicable
  • A list of medications you are presently taking
  • If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.
    		•


    T: 919.225.6899
    F: 919.806.2915

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     Online Referral Form 

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    Patient Information
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    Referring Doctor
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    Extraction
    Adult Teeth

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    Pediatrics

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    Others
    Other Procedures Consultation
    Alveoplasty TMJ
    Biopsy Implants
    Incision and Drainage Orthognathic Evaluation
    Lesion Evaluation Pre-Prosthetic
    Exposure Cleft Lip and Palate
    Hard Tissue Cosmetic
    Infection Other 
    Expose and Bond
    Soft Tissue
    Frenectomy

    Implants:  



    Radiographs:  

     

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