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DMD/MD ReferralÂ
Thank you for referring to The Craniofacial and TMJ Institute. Please complete the online referral form below.
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This form is meant to be submitted by referring doctors/offices only. If you are a patient needing to make an appointment please call 502-771-1774 and leave a message if we are unable to pick up.
Click here for a printable patient referral form. Feel free to complete and print this to give to your patients.
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