Please download and fill out our Patient Referral Form. After you have completed the form, please fax to the appropriate office:

Waterford 248-674-2947
Brighton 810-227-8532
Hartland 810-632-9397
Clarkston 248-625-6252

Thank you!

• Download Our Patient Referral Form
• Download Our  Cone Beam CT Imaging Services Referral Form