Online Referral Portal

Thank you for choosing us to be part of your dental treatment team!  You may refer endodontic patients to our office by using our online Doctor Referral portal by clicking the link below.  Please call our office at (425) 657-0538 to obtain your Doctor ID and password.

Doctor Login

Referral Form

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 is one of our primary concerns and we have taken every precaution to protect it.

Referral Form