Referring Doctors Referral Form
You may refer patients to our office by downloading and filling out our Referral Form. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it, please read our HIPAA Notice of Privacy Practices.
Secure Portal Entrance for Southlake Endodontics
You may also enter our secure online website that allows you to communicate with our office and share personal health information (PHI) securely from anywhere with an Internet connection. Be sure to log off of your computer when finished.
If this is your first time logging on, please call our office (817-488-3636) to obtain the User ID and Password.
