Patient Referral

Dr. Sandor is privileged to work with you to provide patients with the highest quality of care. As a practice, we're committed to maintaining open lines of communication with our referring doctors, and we will make sure your patient receives excellent clinical care and the utmost customer service.

Please fill out the referral form to refer a patient to our practice. You may submit your referral form online or you may download the form through the link below and email it to our office at

Complete the following information and we will process your request.

Reason(s) for Referral:

Following Endodontic Treatment: