Refer a Patient

When one of your patients needs advanced dental or oral surgery care, our team is here to support you. Advanced Veterinary Dental Care and Oral Surgery works closely with primary care veterinarians across the Chicagoland area to provide specialty treatment for dogs and cats while keeping your team informed and involved.

Our role is to serve as an extension of your care, not a replacement for the relationship you have built with your client and patient. From advanced imaging and surgical extractions to root canal therapy, oral tumor surgery, periodontal treatment, orthodontics, and maxillofacial trauma care, we provide focused support for cases that require specialty dental expertise.

Referring Veterinarians - Coming Soon
New Patient Referrals - Coming Soon
Direct Referrals
male veterinarian smiling while petting golden retriever
Submit a Specialty Dental Referral

Submit a Specialty Dental Referral

Please complete the form below with your patient’s information, client contact details, medical history, and reason for referral. If available, you may also include relevant records, dental radiographs, lab work, photos, or other supporting information.

Once we receive your referral, our team will review the case and follow up with the appropriate next step.

DVM Referral Form

Patient Information

Sex
Altered
Is the pet up to date on their vaccines?

Owner Information

Owner's Name
Owner's Name
First Name
Last Name
Address
Address
City
State/Province
Zip/Postal

Referral Information

Referring Veterinarian Information

Referring Veterinarian
Referring Veterinarian
First Name
Last Name
Address
Address
City
State/Province
Zip/Postal

Maximum file size: 52.43MB