Summerlin Las Vegas 702-562-9024 | Henderson 702-270-4600

Referring Dentists

Anthem Periodontics Appreciates The Network of Referring Dentists We Work WithOur reputation, both in Las Vegas and Henderson, at Anthem Periodontics and Dental Implants is one of continuing patient excellence. Our goal of one hundred percent patient satisfaction is continually met each day we open our office doors. It is a pleasure for us to build relationships with other dental experts that strive to attain the same goals of patient excellence and satisfaction. Below please find our communication resources to help bridge our two practices and allow for the smooth patient transfers both to us and back to you once their periodontal services have been completed.

Upload Patient Information and Xrays

We have provided this form for your convenience if you would like to submit the patients information and xrays to us right now, via our website.

Patients Name:

Referring Dentist:

Dentist's Email:

Referred To (Please Choose Periodontist You Would Like Your Patient To See):

Reason For Referral:

Areas Of Concern:

Comments/Notes/Special Instructions:

Upload Radiographs:





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Click Here To Email Us Direct Without Using The Above Form

Dental Referral Form


Click Here To Print Our Dental Patient Referral Form