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Appointment
(310) 933-3077
— Physician Referrals

Refer a patient to our specialists.

We are proud to serve the Torrance and greater South Bay community, and we value the strong relationships we have built with local dentists and physicians. Referring a patient takes just a few minutes.
refer Patient reviews and Your first visit with a provider reviewing notes with a smiling patient
— Download the Doctor Referral Form

The form is quick and easy to complete.

Physician Referral Form

For providers referring a patient to our practice. Complete and send it to our office to start the referral.

Download PDF
— How to Submit

Complete your forms and send them back to us.

Please download the physician referral form, complete it, and email or fax it back to us.

If you have questions about the packet or the referral form, call our office at (310) 933-3077. Our team is happy to help.