Referring Dentist

We want to do our best for you and your patients. When sending patients our way, please help us make the most of their experience by downloading and completing the following form, then faxing it to our office at 503-255-1625.

Referral Form

Please also email the most up-to-date Full Mouth X-rays you have for the patient to our office at info@s.periopdx.com so our doctors can review them prior to their new patient exam.