Thursday, December 14, 2017
Doctor's Referral Form
Doctor's Name*:
Doctor's Phone*:
Patient's Name*:

 Patient's Phone*:
Patient Referred For: 
Treatment Options Discussed
with Patient:
Patient X-Rays:  File 1:
Patient X-Rays:  File 2:
Patient X-Rays:  File 3:
Additional Information:

 
Enter the code shown above:


Doctor's Information
Register for a CE Seminar               We Believe In ORAD            Contact Dr. Finley
Register Now   Learn More   Contact

Text/HTML

"I believe that in order for a patient's treatment to be successful that we must work together as a team. At Finley Periodontics, we will work hard to ensure your entire experience in our office is a positive one."

 

  

  • Dr. Finley even called me personally to see how I was doing after my surgery. I have never had anyone do that for me. Anonymous

  • Dr Finley's expertise and surgical skills are exemplary. His dedication to my needs went beyond the call of duty. Anonymous

  • They made sure that I was comfortable and I didn't wait long at all. My appointment started on time, and the wait was much shorter than other offices I have been to. Lucy W.


Have Additional Questions? Call Now: (337) 443-4150

Ready to Schedule Your Appointment? Click Here!