Patient Referral Form
Thank you for referring your patients to Idaho Perio.
We specialize in dental implants and laser periodontal therapy, and we work closely with referring offices to give every patient seamless, high-quality care. Once we receive your referral, our team will contact the patient to schedule their appointment. Questions? Call us at 208-377-2777.
Option 1: Print & fax
Download our printable referral form, fill it in, and fax it to 208-377-3075.
Download referral form (PDF)or
Option 2: Submit online
Fill out the form below and it will be sent straight to our office. After submitting, please email any x-rays or photos to idahoperio@gmail.com. We'll email you the exact subject line to use.
