Referrals

Practices referring Periodontal patients to Dr. Nadia Kawar, please use this Periodontal Referral Form to send your patients information to us.
Please download the PDF form below:

We accept referrals by email or phone. Please be sure to fill out the form in full and, in addition, we ask for any recent radiographs (FMX, BWX, PA, Pano – please include the date taken) to be emailed to our office at [email protected] before the patient’s scheduled appointment.

We appreciate the opportunity to work with you and provide periodontal care for your patients!