REFERRAL FORM

Thank you for referring your patient to Permian Basin Oral Surgery & Dental Implant Center. Please download and fill out our referral form. 

Once you have completed the form, please email it to our office at registration@permianbasinoralsurgery.com and attach any supporting images or documents.

Get to know us.

At Permian Basin Oral Surgery & Dental Implant Center, we strive for excellence in serving you. Our board-certified surgeons and expert staff will provide the care you need and deserve.

Our Commitment

We focus on providing the highest quality treatment with care and compassion, placing every patient at the center of what we do.

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