Referral Options for Patients and Providers

Send a patient using DrTalk
Referring a patient through DrTalk is quick, secure, and HIPAA-compliant. With just a few clicks, you can send all necessary patient information directly to our office. Dr. Brian C. Lee and our team will promptly review the case and coordinate care to ensure a smooth and seamless experience for your patient. This method is ideal for busy dental and medical offices looking for a streamlined digital referral process.
Need help getting started with DrTalk? Call us at (408) 214-5670 and we’ll walk you through it.
Submit the referral form online
Prefer to fill out the referral form directly through our website? Use our online referral form to submit patient information securely and instantly. This form is perfect for providers who want a straightforward, browser-based option to refer patients to Cupertino Oral & Facial Surgery for procedures such as extractions, dental implants, or other oral surgery needs.
Our team will follow up promptly with your patient to schedule an appointment and ensure they receive exceptional care.
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Download a PDF referral form
For those who prefer a paper-based process, we also offer a PDF referral form that you can download, complete, and send to our office via fax or with your patient. This option is great if you're used to a more traditional workflow or if you'd like to keep a physical record of your referrals.
Fax the completed form to us or have your patient bring it to their appointment at Cupertino Oral & Facial Surgery.
Want to request an appointment?
