Referring Doctors

The NVC invites you to exchange innovative ideas and take part in our contemporary philosophy on patient care. We thank you for the great opportunity to share those ideas and our philosophy with your patients

Thank you for your referrals and entrusting the care of your patients with Northern Virginia Oral Surgery Centers. To intiate communication regarding the proposed treatment of your patient, please send us a referral and any additional information you feel may be important for our doctors to know.  We support and take both digital x-rays and digital 3-D cone beam images. After your patient’s initial consultation, we will continue to contact you before and after their procedure to ensure that a successful treatment plan is carried out.

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 Submit 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.

Fairfax Patient Referral Form Dental eShare

Warrenton Patient Referral Form Dental eShare

Gainesville Patient Referral