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Referring Doctors

Our Redding CA Oral & Maxillofacial Sugery practice welcomes referrals from colleagues. We strive to provide an exceptional oral surgery experience by supporting our patients and their referring doctors.

Please use our online form below to refer your patients to our office for any oral & maxillofacial surgery needs.

 

Patients Name:
Date:
Referred by:
Contact Patient for Appointment:
Referral Note: Please treat the following:

Extractions: Please click teeth to be removed





Right



 Left
Please Verify Teeth for Treatment:
Apicoectomty: Tooth#
Implant Evaluation/Treatment:
Oral Pathology Evaluation/Treatment:
Corrective & Reconstructive Surgery:
Temporomandibular Joint (TMD) Evaluation/Treatment:
X-Rays:
Remarks:
    
  
 

 

 


Oral & Maxillofacial Surgery
Mark Cox, DMD - Board Certified Oral Surgeon
2945 Northwoods Way
Redding, CA 96002 - 2136
Phone: (530) 221-6900
*Serving Redding CA 96001 96002 96003 96049 & 96099