Online Referral Form

Oral Surgery Patient Referrals

You may refer patients to our office for oral surgery procedures by filling out our secure online Referral form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. After you have submitted the Referral form, you will have the option to securely upload and transmit images of patient x-rays.

Online Referral Form

The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

For assistance, please call our office: Oral Surgery Office of Dr. Steven Young in Johnston RI Phone Number 401-273-7802.