To refer your patients to Encinitas Endodontic Specialists, please use the file below to download and print out our Patient Referral form. Once completed, you may send the referral form with your patient or fax it to our office: 760-436-4571.
Download our Patient Referral Form.
OR you may fill out this form online and please indicate in the comments which tooth area is being referred.
If you have any questions, please call our office: 760-436-4561.