Office Referrals

Patient Information

download pdf

    Referring Doctor Information

    Oral Surgery
    Endodontics
    Periodontics
    Anesthesia

    Patients requiring General Anesthetic or I.V. Sedation are seen for consultation prior to procedure

    Surgical Template
    Extractions Teeth 1
    R L
    < >
    Extractions Teeth 2
    R L
    < >
    Doctor's Notes

    “I would return to your office without hesitation and will proudly support and recommend Dr. Tiboris and your entire practice!”

    Brian H, Kenosha
    Wisdom & Impacted Teeth