Capital District Oral & Maxillofacial Surgeons Capital District Oral & Maxillofacial Surgeons Capital District Oral & Maxillofacial Surgeons Capital District Oral & Maxillofacial Surgeons

Referring Doctors



Welcome to our Referring Doctor page! By clicking the link provided below, you can easily refer your patient information to our office through a convenient and secure, HIPAA compliant portal. Just click the link and update the form with the requested patient information. The form also provides you the ability to attach and transmit any recent x-rays that you have on file. By submitting the information through this process, we can better serve your patients on the day of their appointment. As always, we thank you for partnering with us to provide the best of care to your patients.


Online 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.


Online Registration