Home
Forms Library
Standard dental referral form

Dental referral form template 2025

standard dental referral form Preview on Page 1

Show details

4 out of 5

38 votes

The document is a standard dental referral form approved by the Canadian Dental Association, used for referring patients to specialists. It includes sections for patient information, reason for referral, relevant medical history, and instructions for follow-up communication and record handling.

Here's how it works

01. Edit your standard dental referral form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send dental referral form template word via email, link, or fax. You can also download it, export it or print it out.

The fastest way to redact Dental referral form template online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is a perfect editor for updating your forms online. Adhere to this straightforward guide to edit Dental referral form template in PDF format online at no cost:

Sign up and log in. Register for a free account, set a strong password, and proceed with email verification to start managing your templates.
Add a document. Click on New Document and choose the form importing option: add Dental referral form template from your device, the cloud, or a secure link.
Make changes to the sample. Take advantage of the upper and left panel tools to redact Dental referral form template. Add and customize text, images, and fillable areas, whiteout unnecessary details, highlight the significant ones, and provide comments on your updates.
Get your documentation completed. Send the form to other parties via email, generate a link for quicker file sharing, export the sample to the cloud, or save it on your device in the current version or with Audit Trail added.

Explore all the advantages of our editor right now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can I go to an oral surgeon without a referral?

It depends. An OMS practice may require a referral, and some patients may need a referral because of their insurance coverage. It is generally recommended to have a referral for oral surgery, when possible, to provide you with optimal continuity of care.

When would a dentist refer a patient to a specialist?

A general dentist, making a recommendation for referral to a specialist, should do so on the basis of what is appropriate and best for the patient, in the context of their own level or constraints of experience, expertise and training.

How do you write a referral letter for a dentist?

Answer: A dental referral letter should include the patients name, contact information, reason for referral, any relevant medical history, and any specific instructions or requests for the receiving dentist. It is also important to include your contact information and signature.

What is a referral program for a dental office?

Simply put, a dental referral program is a marketing method where your existing customers are rewarded for referring their friends and family to your business. Typically, the referrer will get a reward for doing this. Referral programs are highly effective because they feel natural and not overly sales-y.

How do you write a dental referral?

Things to include in a dental referral form: Patient information (Name, Email ID, Phone number, Address, Age, Gender) Information of the dentist that is referring the patient (Dentists name, Name of the practice, Dentists contact information) Reasons for the referral (Name of the treatment/procedure)

dental office referral form

Dental referral form template word Printable dental referral forms Dental referral Form PDF Sample dental referral letter to specialist Dental specialist referral form Dental referral letter template Dentist referral to specialist Dental referral letter to oral surgeon

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

Do I need a referral to see a dental specialist?

The Complexity of the Procedure: Routine procedures, like uncomplicated wisdom tooth removal, might not require a referral. However, more complex surgeries, such as jaw reconstruction or implant placement with bone grafting, often require a referral from your dentist.

Why do dentists need referrals?

Why Does Your Dental Office Use Referrals? Your dental office likely uses referral forms to refer patients to other medical specialists. These forms contain basic information about the patient, their dental issue, and a potential treatment option that requires specialized care.

Dental referral form template 2025

Here's how it works

The fastest way to redact Dental referral form template online

Complete this form in 5 minutes or less

Got questions?

Can I go to an oral surgeon without a referral?

When would a dentist refer a patient to a specialist?

How do you write a referral letter for a dentist?

What is a referral program for a dental office?

How do you write a dental referral?

Complete this form in 5 minutes or less

People also ask

Do I need a referral to see a dental specialist?

Why do dentists need referrals?

oral surgery referral form pdf

Try more PDF tools