Referral Form

Collaborator 3.0 Now Online To Better Manage Patient Care

Please CLICK HERE to submit a new referral or manage new patient cases with our new collaborator software.

This website will allow you to refer patients to our office and collaborate on case development. Due to stringent HIPAA requirements, you must have an individual user name and password to access this portion of our web site. For first time users, or if you have forgotten your password, please telephone Renton Office Phone Number 425-277-0670 or email [email protected].

Please click on the link below to download and print our Referral Form.

• Referral Form

Partners in Patient Care

Our partnership with restorative dentists is so important to us.  We are honored to be members of the patient care team to deliver excellent care to your patients.  Thank you for your trust in us.