We welcome and thank you for your referral:

To send a patient to our office, please:

• Download the appropriate form below
• Fill out and Fax to 206-524-1603
• If you prefer, you may Email us the information to Info@seattlespecialcaredentistry.com
• Directions/Map (PDF) is available for your patient if they wish.

Our forms:

• General referral (PDF)
• Radiation Oncology referral (PDF)
• Pediatric referral (PDF)