Referral Forms
Referring Doctors Wichita KS
You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data are one of our primary concerns and we have taken every precaution to protect it.
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“My son had to have several teeth removed to prepare for braces and Dr Gagnon took fantastic care of him! My daughter is going to have her wisdom teeth removed here next. The staff was great too!”
Healthgrades