top of page

Medical Providers Portal

Patient Referral Form for Medical Professionals

The purpose of this downloadable patient referral form is to ensure that Dental Prosthodontics of Rochester, NY, will receive enough information so that your patients will receive a better transition of care and are seen in a timely fashion. This form should be emailed to rocprostho@gmail.com or faxed to us at 585-471-8435. If you have any questions, please give us a call at 585-471-5689.

bottom of page