Doctor Referral Form
We honor and value any patient that you entrust us to treat!! If you have a patient that you would like to refer to us for treatment, please print and complete the following referral form. You can either give to your patient to bring to their appointment or you can fax to us at 770-949-2244. You also have the option to e-mail the referral to us at rrdental@att.net. If you would like hard copies of our referral pads, please call us at 770-949-2400 and we will be more than happy to mail or drop them off at your office. You are more than welcome to join our referral family!!
