Dental Patient Referral Forms

A successful dental practice is the result of a strong commitment to excellence in dental care and in relationships with patients and doctors. We would like to take a moment to thank you for showing confidence in our practice by recommending us to your friends, family and colleagues. We are gratified to find how many new patients regularly call us based on your referrals.

Patient Referral

Many of our patients are referred by their friends, family members and colleagues. This is the highest compliment to Dr. Martinez and our team.

If you have a friend, neighbor, co-worker or family member that has never been to our office and you would like to refer them to us, please let us know and we will call them or send them information about our office.

Doctor Referral

As a specialty practice, we realize and respect that the patients referred to our practice are your patients. We recognize ourselves as your partners in the treatment process and that your patients will be referred back to you after treatment is completed.

We partner with you every step of the way. You will be a part of our TEAM n providing your patients with advanced procedures and comprehensive care for reliable and optimal outcomes. Come join our TEAM! Referring doctors can download our referral slip to provoke us with information about the patient and his or her dental condition. You may fax it to 407-656-9098. Just click here to download the referral form.