Referring Dentists


Thank you for your confidence in our office. We look forward to working with you in achieving periodontal health for your patients.  You may download and fill out a printable patient referral form. After you have completed the form, please fax a copy of this referral to Dr. Serra at (614) 451 - 0091.












Technical Note


You need Adobe Acrobat Reader to view our form. Please download the free Acrobat Reader from Adobe's web site if it is not already installed on your system.


You may also refer a patient to Dr. Serra through our online referral form. If you wish to speak to us directly, please feel free to contact us.  We look forward to the opportunity to work with you.


Please email radiographs to:

Online Patient Referral Form