Kingwood Dental Specialists

281-359-1011

  • Home
  • Meet The Doctors
    • Scott Howell, DDS, DMSc
    • Duc Lam, DDS, MD
    • Andrew Dugum, DMD, MSD
  • Services
    • Endodontics
    • Periodontics
    • Oral Surgery
    • LANAP Laser Gum Therapy
  • Insurance
  • Patients
  • Referring Doctors
  • Contact Us
  • More
    • Home
    • Meet The Doctors
      • Scott Howell, DDS, DMSc
      • Duc Lam, DDS, MD
      • Andrew Dugum, DMD, MSD
    • Services
      • Endodontics
      • Periodontics
      • Oral Surgery
      • LANAP Laser Gum Therapy
    • Insurance
    • Patients
    • Referring Doctors
    • Contact Us

281-359-1011

Kingwood Dental Specialists
  • Home
  • Meet The Doctors
    • Scott Howell, DDS, DMSc
    • Duc Lam, DDS, MD
    • Andrew Dugum, DMD, MSD
  • Services
    • Endodontics
    • Periodontics
    • Oral Surgery
    • LANAP Laser Gum Therapy
  • Insurance
  • Patients
  • Referring Doctors
  • Contact Us

Referral Form

Please print the form below and send it with the patient you are referring. Thank you!

Kingwood Dental Specialists Referral (pdf)

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Submit Referral online

You may submit the patient’s information electronically using the form below, and our office will receive a copy. 

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