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REFERRAL INFORMATION
A successful practice doesn’t just happen; it is the result of a strong commitment to excellence in the professional community and in the relationships we build with our patients and colleagues.
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We appreciate the faith you place in us by referring patients. When we proceed with treatment, it is our policy to keep you updated on the patient’s progress with treatment.
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To assist you in your referral process we are happy to provide the support materials that will work best for your practice. Please email us at office@drmaijer.com to request:
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business cards
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referral prescription pads
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our practice brochures
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patient education materials
REFERRAL FORMS
PHYSICIANS
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Pediatric Referral Form​
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DENTISTS​
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DDS Referral - Children & Teens
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