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We would be happy to assist other Dentists with their patients' needs for Dental Implants. In consultation with the referring Dentist, Dr. Leigh will examine the patient, suggest the most appropriate treatment plan, and place the implant(s). The patient will then be referred back to the referring Dentist to complete the final prosthesis stage; or, Dr. Leigh can complete the final prosthesis stage at the request of the referring Dentist. We also welcome referrals for CBCT (Cone Beam) Scans with our Gendex i-Cat in-office 3D Imaging Scanner. All our Scans are checked by an Oral Maxillofacial Radiologist and a Radiology Report is provided for the Dentist and Patient. We can assist other Dentists with providing this service for their patients as well as Implant Planning and Fabrication of Computer Generated Surgical Guides for precision placement of Dental Implants. We believe in True Restoratively Driven Implant Dental Treatment through 3D Planning.
Please CLICK HERE to download a .pdf file Referral Form.
You can print the referral form and FAX it to the Leigh Smile Center: 1-780-349-2626. Or, scan the saved form and send it as an email attachment, attention Dental Implant Team, to firstname.lastname@example.org.
The .pdf file requires Adobe Reader. You can download and install Adobe Reader free by CLICKING HERE.
Sample of PATIENT REFERRAL FORM below:
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