You may refer patients to our office by “clicking” Make an Appointment tab at the right. This tab will direct you to Contact Our Office page where you can fill out your patient’s contact and referral information. Under “Comments/Questions” please enter your referral information. Once you are done, please click “Send Message” so that your referral will be e-mailed to our office. We will contact your patient within 24 hours to schedule an appointment.
A second option is to click on the side link: Referral Form. This link will open a pdf copy of our referral form. You may print this form, fill out your patient information and fax it to us: 603-229-0237 or scan and e-mail to: info@drlevyoralsurgery.com. Again, we will contact your patient within 24 hours to schedule an appointment.
The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it. Please consider transmitting any sensitive information about your patient by calling Dr. Levy personally.