We value our partnerships with referring providers. Please use this streamlined form to refer your patients for expert consultation and management of orofacial pain, TMJ disorders, and sleep-related conditions.

Options to refer:

• Online referral forms: Complete the online referral form

• Paper referral forms: download the referral forms, or send referral to OPOMC via email or fax. Include pertinent patient records, pertinent testing and evaluation.

After receiving the referral, we will reach out to the patient and schedule an appointment.

Please do not hesitate to reach out via email or phone with any questions or concerns.