COVID-19 Update - We are open for essential dental procedures and will continue offering our typical sedation and extraction services to your patients. Because some of you may simply be manning the emergency line remotely, we have created an online referral form section below so you can "fill out the referral slip" right here on the form.


We are now offering an online Sedation PreQualification form for patients (at Coupled with the images of the referral slip and x-ray you're filling out/uploading on this page, the patient fills out a health history questionnaire. Upon submitting the form, Dr. Moorehead analyzes their unique situation and determines if they can be scheduled directly for their sedation appointment, therefore eliminating the in-office consultation that we have required in the past.

Note: Effective 2/10/2020, we are discontinuing the use of referral back paperwork to you outlining the work that we completed. We encourage you to inquire with patients as they return to your office if there was any notable health changes as a result of their services with us (as fits your office procedures). Thanks for you understanding.

We encourage you share this option with all of your referral patients, as it decreases the time between your referral and their sedation appointment and eliminates the hassle of another office visit. 


Send Referral Form