Referral Form

Referral Form

Ready to Schedule a Consultation?

Drs. Garrett, Blundell, Hanley, Clyburn or Wiley offers a number of dental treatments that can keep your mouth healthy and your smile beautiful. Contact us today!

Brazos Valley Oral & Maxillofacial Surgery Online Patient Referral Form

At Brazos Valley Oral & Maxillofacial Surgery, we value our relationships with referring dental practices and are proud to partner with you in providing excellent oral healthcare to our community. We utilize Leading Reach, a HIPAA-secure, web-based platform, to exchange referrals and x-rays. If you need help setting up a FREE account, please contact us. Thank you!

To achieve a high level of trust with our shared patients, we:

  • Review cases thoroughly in advance
  • Refer back to your office for restorations
  • Collaborate with you on treatment plans
  • Are available in an advisory role if requested
  • Offer accommodating scheduling
  • Provide timely assessments and imaging
We have a selection of tools and resources assembled here such as our referral form and links to articles you may find interesting. If you have any questions about our practice, please call us at (979) 764-7101. Above all, we want to thank you for your referral of our office.

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