At this time, we are not accepting referrals for pediatric (12 and under) general anesthetic or IV sedation for restorative work, we are in the process of streamlining this service and hope to to be accepting referrals again soon.

We continue to offer N2O for all pediatric restorative work.

Patient Information

Referring Clinician Information

Teeth Involved

Radiographs

Specialties

Remarks/Reason for referral/Diagnosis