COLLABORATIVE ENDODONTIC CARE
For Referring Dentists
Thank you for trusting us with your patients’ endodontic care. To refer a patient to Dr. Sahil Manhas at our Burlington office, please download and complete the referral form.
Email a scanned copy, along with relevant radiographs, to the address listed on the form using your office’s secure email process.
Download Referral FormPrintable PDF · Complete, scan, and email
01
Download
Save and print the referral form.
02
Complete
Include the patient’s details, tooth number, and reason for referral.
03
Scan & email
Send the completed form and relevant radiographs to the email address printed on the form using your office’s secure email process.
Questions or urgent referrals?
Please call our Burlington office.
1155 Huffman Mill Road · Burlington, North Carolina