Easily access our Referral Forms:  Online Referral Form -or- Print Referral Form

Please print out a referral or fill out the electronic form for your patient with all necessary information. Include x-rays and any other information you feel can help us to best evaluate and treat your patient. Please have the patient bring the information with them to their scheduled appointment or mail it to our office in advance. If you are in need of referral books, please contact our office and we will mail some to you. Thanks!

Information for Referring Doctors

We would like to take a minute of your valuable time to thank you for your continued confidence in our practice. It is truly a privilege to treat your patients, and to be a part of your team toward the goal of exceptional patient care!

We are kicking off our fourteenth year at Dominion Endodontics, and we are as committed now as the day we saw our first patient. Our mission has always been to provide exceptional endodontic care for your patients. Whether your patient has a need for initial treatment, non-surgical retreatment, or apical surgery, we are pleased to offer a full spectrum of endodontic services. We also perform consultations and evaluations, second opinions, and help in isolating those cases which can present a challenge to diagnose.

Most importantly, if you contact us regarding a patient that requires emergency treatment, we will guarantee that your patient will be seen on the same day! In other words, we will always have room in our schedule to see your emergency cases.

Again, thank you for your confidence in our office. We look forward to partnering with you toward exceptional patient care.