Referrals

To refer a patient, simply give us a call, use the link to our referral card (PDF, opens in a new window), or fill out our easy online form below. Your support means the world to us, and we can’t wait to provide your patients with the exceptional care they deserve!

Download our referral card.

Referral

Doctor Name(Required)

Practice Name(Required)

Reffering Office Phone(Required)

Reffering Office Email(Required)

Referral Information

Name of the Patient You are Referring(Required)

Patient's Phone Number(Required)

Patient's Email(Required)

Radiographs Sent?

Yes

Message

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Dr. Thomas Is Always Welcoming New Patients

If you have any questions for Dr. Thomas and Restore Prosthodontics & Implant Center please let us know. We would be happy to schedule a time to meet with you.