Oral and Facial Surgery Center welcomes referrals from other medical practitioners for standard procedures as well as medical emergencies.

Please use the forms below by printing out which one you prefer and then either mailing, emailing or faxing it to us. Our fax number is at the bottom of this page as well as on the forms.

Thank you for choosing Dr. Day and the Oral and Facial Surgery Center. We are committed to quality and timely communication and will advise your practice of our recommendations and/or the results of the mutually agreed upon procedures and their outcomes for your patient. Oral and Facial Surgery Center and Dr. Reed Day values our collaboration leading to your patient's well being.

For a referral form printable from your browser click: here

If the form does not print correctly, we have another form available in Adobe Acrobate Reader format. Click here to download that form. It requires Adobe Acrobat Reader which is available for free from Adobe here.