Referring to Us

For referring dentists

Thank you for your referral

We appreciate every referral and see it as a compliment to our office. Follow the steps below to refer a patient to Root Canal Dentists.

  1. Complete the form. Print the Root Canal Dentists referral form (PDF) and complete it.
  2. Fax it to us. Fax the form to our office at 214-352-7670.
  3. Give the patient a copy. Provide a copy of the completed form for the patient to bring to the appointment.
  4. Patient schedules. Patients must call 214-352-ROOT (7668) to schedule their appointment.
Referral form (PDF) Printable business card (PDF)
All minor patients (under 18) must be accompanied by a parent or legal guardian and must remain with the patient until treatment is completed. Be sure to bring proper photo ID and Medicaid/CHIP/insurance card.

Submit a referral online

Referrals submitted here go directly to our office. For PHI, please fax the printed form to 214-352-7670; do not send medical records through this form.