Charlotte Oral Surgery Referrals - Doctor Referral Form

You may refer patients to Oral Surgery Associates of Charlotte by filling out the referral form below. After you have completed the form, please fax a copy of this referral to 704-549-8021. Thank you!

The security and privacy of patient's information is a top priority of ours and we will continue to take every precaution to protect it.

Please call us if your have any questions: 704-549-8020.