Doctor Referral Forms for Endodontics, Periodontics, or Orthodontics
For referring doctors’ office use only.
You may refer patients to our Huntington Beach office by completing the online form below, or by downloading and printing the appropriate referral form. After completing the printed form, please fax it to 714-375-2199.
Doctor Referral Form
At Farsio Dental Specialties Group, we value our relationships with referring dental practices and are proud to partner with you to provide excellent oral healthcare to our community.
To optimize care for our shared patients, we:
- Review cases thoroughly in advance
- Refer back to your office for restorations
- Collaborate with you on treatment plans
- Are available in an advisory role if requested
- Offer accommodating scheduling
- Provide timely assessments and imaging
If you have any questions about our practice, please feel free to contact us. Above all, we want to thank you for your referral to our office.
If you have any questions, please call our office.
Office Hours
Monday through Friday: 9:00 AM - 6:00 PM
Saturday: 7:00 AM - 3:00 PM



