Northwest Oral & Maxillofacial Surgery Online Patient Referral Form

At Northwest Oral & Maxillofacial Surgery, we value our relationships with referring dental practices and are proud to partner with you in providing excellent oral healthcare to our community.

Online Referral Form

To achieve a high level of trust with our shared patients, we:

  • Review cases thoroughly in advance
  • Refer back to your office for restorations
  • Collaborate with you on treatment plans
  • Are available in an advisory role if requested
  • Offer accommodating scheduling
  • Provide timely assessments and imaging

We have a selection of tools and resources assembled here such as a referral form and links to articles you may find interesting. If you have any questions about our practice, please call us at Arlington Heights Phone Number 847-392-6220.

Above all, we want to thank you for your referral of our office.

Office Hours

Monday through Thursday:   8:00 AM - 4:30 PM
Friday:   7:30 AM - 2:00 PM
Saturday:   8:00 AM - 11:30 PM
Sunday:   Closed