Online Referral Form

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.


Continuing Education Seminars

Our practice goal is to deliver the best possible care to our patients. This commitment encompasses many areas of expertise. The doctors at Santa Cruz Oral and Maxillofacial Surgery are committed to remain in the forefront of developments in oral and maxillofacial surgery. As providers for the California Board of Dental Examiners Continuing Education program, we present many different educational opportunities for our referrals. We would like to invite you to participate in our continuing education programs that include an ongoing implant study group program as well our annual orthognathic surgery support seminar.

Please call with any questions or issues with the referral form or if you’d like to attend a continuing education program.

Santa Cruz Oral Surgery Office Phone Number 831-475-0221 Email Us