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 CareCredit.

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.