Referral Form

Our referring dental offices send their patients to us to have root canal treatment done by one of our endodontic specialists. Once we have finished the procedure, the patient will return to their referring general dentist to have the permanent restoration completed.

You may also download our PDF Referral Form and bring it to your scheduled appointment.

You will need Adobe Acrobat Reader in order to download these forms.

© 2012-2019 by Greeley Endodontics, LLC.

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1711 61st Ave., Suite 108 | Greeley, Colorado  80634
 970-515-6332  Phone | 970-673-8923  Fax


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