Referral Form

Referring Doctors: Seamless Patient Referrals in East Brunswick, NJ

At Middlesex Periodontics & Dental Implants, PC, we value our partnerships with referring doctors and strive to make the patient referral process as smooth and efficient as possible. Our secure referral system ensures that your patients receive the specialized periodontal and dental implant care they need with a seamless transition from your practice to ours.

How to Refer a Patient

Referring a patient to Middlesex Periodontics & Dental Implants, PC is simple and secure. To ensure the best experience, follow these steps:

  1. Download the Referral Form – Our referral form is available online for easy access. Simply download and complete the necessary details.
  2. Fill Out Patient Information – Provide essential details such as the patient’s name, medical history, and the reason for referral.
  3. Submit or Bring the Form – Patients can bring the completed form to their first appointment, or you may submit it directly to our office.

Our team prioritizes both security and efficiency, ensuring that patient data is handled with the highest level of privacy and confidentiality.

Why Choose Middlesex Periodontics & Dental Implants for Your Referrals?

We understand that choosing the right periodontal specialist for your patients is important. Here’s why healthcare providers trust us for referrals:

  • Board-Certified Expertise – Led by Dr. Daniel Reich, a Diplomate of the American Board of Periodontology with extensive experience in periodontal care and dental implants.
  • State-of-the-Art Technology – We utilize LANAP laser therapy, digital X-rays, and Piezosurgery to offer minimally invasive and highly effective treatments.
  • Comprehensive Periodontal & Implant Services – From scaling and root planing to dental implants, bone grafting, and sinus elevation, we provide complete solutions tailored to each patient’s needs.

Our commitment to excellence ensures that your patients receive the best periodontal care in East Brunswick, NJ.

Secure Patient Data Handling

We recognize the importance of patient privacy and data security. Our office follows strict HIPAA-compliant protocols to protect all referral information. Rest assured that any information shared with us is handled with the utmost confidentiality and care.

Additionally, if you encounter any technical issues when downloading the referral form, please ensure you have Adobe Acrobat Reader installed. This free software is required to view and complete the form.

Partner With Us for Exceptional Periodontal Care

By referring your patients to Middlesex Periodontics & Dental Implants, PC, you can feel confident that they are receiving specialized, high-quality treatment in a welcoming environment. We are committed to working collaboratively with referring doctors to develop optimal treatment plans tailored to each patient.

Call us at
732-257-7300

or

Request an Appointment Online

to begin the referral process today!

CONTACT OUR OFFICE

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