Please download and fill-out our Dr. Referral Form. After you have completed the form, please make sure to send it with the patient on their first visit to our office. The security and privacy of personal data is one of our primary concerns and we have taken every precaution to protect it.
You need Adobe Acrobat Reader to view our form. Please download the free Acrobat Reader from Adobe's web site if it is not already installed on your system.
We use gotomeeting.com to communicate with or referring Drs.
University Oral & Facial Surgery, P.C. | 651 Helen Keller Boulevard, Tuscaloosa, AL 35404 | P. 205-556-2323 or 800-225-6882 or 800-225-6882 | F. 205-556-2341
Dental Website: Home | Oral Surgery Patient Information | Oral Surgery Tuscaloosa AL | Facial Cosmetic Surgery Tuscaloosa AL | Oral Surgeon Tuscaloosa AL
Surgical Instructions | Patient Registration Forms |
Contact Our Oral Surgery Office | Referring Doctors | Disclaimer | Sitemap