Referral Form​

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Thank you for your continued trust and collaboration. We sincerely appreciate the opportunity to care for your patients and to remain a part of your dental team.

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Silver Lake Endodontics is committed to providing precise, patient-centered endodontic care in a comfortable and efficient setting. We utilize advanced technology—including surgical operating microscopes, cone beam CT (CBCT), and modern endodontic techniques—to support accurate diagnosis, predictable treatment, and excellent clinical outcomes.

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Clear communication with referring doctors is a priority for us. Consultation findings and treatment recommendations are shared promptly, and we are always available to discuss cases or answer questions to support the best outcome for our mutual patients.

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Download Referral Form

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The referral form may be:

• Printed and provided to the patient

• Scanned and emailed/faxed with accompanying radiographs

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Secure Online Referral Portal

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The referral portal allows referring doctors to 

• Submit referrals electronically

• Access and track referred patients

• Receive and review postoperative reports

• view previous referrals and clinical correspondence in one place

The portal can be accessed using your email address and password.

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If you have any questions regarding referrals, imaging, or scheduling, please feel free to contact our office.

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Phone: 425-316-8484
Email: SilverLakeEndodontics@gmail.com

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