Referring Doctors

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 Submit button at the bottom to automatically send us your information. The security and privacy of patient data are one of our primary concerns and we have taken every precaution to protect it.

Online Referral Form

Technical Note: *Once reviewed, scroll down to submit your referral!

Are You Ready to Receive Quality Dental Care?

Contact Boston Board Certified Oral Surgeon, Patrick Chan, DMD, with any questions or to schedule an appointment to reclaim your smile today!

Call us: 617-451-2111