If you have any questions and would like to speak with us directly at Eastside Periodontics and Implantology, give us a call directly at 503-667-2442.
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.
Download Referral Form
Download the referral form and fax or email it to the number/email on the form.
