Online Referral Form

You may refer patients to our office by filling out our secure Online Referral form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information.

After you submit the Referral, you will have the option to securely upload and send images of patient x-rays.

Clickable button to launch a secure online Doctor Referral form

The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

If you have any questions, please call our offices: Westminster Just Wisdom Teeth Westminster Office Phone Number 303-428-3437 or Wheat Ridge Just Wisdom Teeth Wheat Ridge Office Phone Number 720-583-0523.

Office Hours

Monday through Friday:   8:00 AM - 5:00 PM