Please provide a completed referral slip, to the patient and if possible, and email a copy to our office as soon as possible along with any necessary x-rays!

We will do our best to help your patient in a kind and compassionate manner. We can provide treatment estimates and will process any insurance we can.

We are currently in-network with Delta Dental (Premier and PPO/EPO).

We are out-of-network with all other insurance and are happy to submit claims to any insurance that we can!

We also offer Cherry and CareCredit for patients who need payment options.

Need more referral slips? Just give us a call and we will get some to you!

Until then Click here –>[ Foothill Endo Referral Slip – Blank ] or right click the image below to print your own.