Refer a Patient

A quick way for dentists and physicians to send a patient our way.

For referring providers

Send us your patient's information

Thank you for trusting American Dental Health Providers with your patient's care. Tell us a little about the referral below and a member of our care coordination team will reach out to your patient directly to schedule their visit — usually within one business day.

Your first name

Your last name

Practice / office name

Your phone

Your email

Preferred ADHP location

Patient name

Patient phone

Reason for referral / clinical notes A brief clinical summary is fine here — please don't include full chart notes or images. Our team will follow up directly with the patient and, if useful, with your office.

Prefer to call it in?

For an urgent referral, calling the office directly is always the fastest route to getting your patient seen.

Office	Phone
Downey, CA	(562) 923-0038
Fallbrook, CA	(760) 723-1193
Torrance, CA	(310) 212-0702
Long Beach, CA	(562) 445-3066

What happens next? A member of our care coordination team reviews every referral and reaches out to the patient directly to schedule a consultation. We're happy to send you a summary once treatment planning is complete — just note that in the form above.

Looking for more on what we treat? See dental implants, full mouth / All-on-X, oral surgery and our full list of services.