Online Referral Form
Thank you for visiting our site. Our goal is to provide a lasting and mutually beneficial relationship for both our patients and their referring doctors. Please feel free to call our office anytime if a question arises or to discuss and schedule your patient.
We will always strive to best match our procedures for your patients with your goals for their restorative care. Extractions, ridge preservation and augmentation, sinus augmentation, and surgical placement of dental implants are provided by our office. We can also provide fixture registration, temporization, and implant abutment placement, all at your preference.
In addition, we offer many continuing education courses and host an ongoing dental implant study group. We also have specific programs to demonstrate implant level and abutment level impression and restoration techniques, as well as overdenture concepts. We can also provide lunch and learn programs for you and your office staff.
If you have any suggestions or would like to learn more, please give me a call.
Online Referral Form
You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.
Dr. Anthony Lizano
Technical Note: *Once reviewed, scroll down to submit your referral!
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PC Users
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conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is
not already installed on your system. It is important that you have at least
version 9 of the plug-in to successfully use our online form.
