Start New Referral

How it works

Simple referral. We handle the rest.

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1Fill out patient info and select the destination office

2Upload your referral — scan it in or take a photo

3We notify your patient and the receiving provider

4We handle all follow-up and send weekly tracking updates

HIPAA Compliant
Referring ProviderGeneral Dentistry

NameDr. Michelle Engel, DDS

PracticeEngel Dental & Wellness

Emailreferrals@engeldentalwellness.com

Phone(631) 943-8689

Patient Information

* Required

Destination Office

Referral Questions*

Does this patient require immediate follow up with your office following this referral?
Is this a true dental emergency?

Referral Documents*

X-RaysOptional

Fields marked * are required to submit.

Office verification

Authorized Staff Access

This page is for authorized staff only. Verify your office before starting a new referral.

Office / Practice name
Engel Dental & Wellness

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