Referral Form

Appropriate referrals are an integral part of complete quality health care management. Referrals should be based on the education, training, interest, and experience of the referring dentist and the unique needs of the patient. Dentists and physicians are expected to recognize the extent of the treatment needs of their patients and when referrals are necessary. Dr. McClatchie is a knowledgeable dentist who is able to co-treat patients for optimal care. Additionally, many patients seen in our office may need to go to a primary care physician or specialist. As an advocate for her patients, Dr. McClatchie recommends that her patients visit their physicians when signs/symptoms of disease are seen at her office, or if the patient presents high risk factors.

Please complete the online fillable form on your computer, save it and email us the completed online form to: [email protected].

Physician Referral Form Online

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