How to Refer a Patient
Complete the Referral Form:
Fill out all required fields in our secure online form with accurate patient and referral information.
Submit Your Referral:
Once you have filled out the form, click the Submit button at the bottom to send the information directly to our office.
Data Security:
We ensure that all patient data transmitted via our online referral system is protected and handled with strict confidentiality.
Technical Requirements
Our online form uses the latest version of Adobe Acrobat
Reader to allow you to conveniently submit the form from
home or work. If Adobe Acrobat Reader is not already in-
stalled on your system, please download the free plug-in
from Adobe’s website. It is important to have at least
version 9 of the plug-in to successfully use our online
For Mac users, please open and submit the form in a
Safari browser with the latest macOS. Ensure you have
the latest version Of Adobe Acrobat Reader installed on
your computer by downloading the free plug-in from
Adobe’s website.
For any questions regarding the referral process or technical issues, please contact our office at 760-837-1515.
We appreciate your collaboration and look forward to providing your patients with exceptional care at Desert Maxillofacial.
Get in Touch
Now Serving Palm Springs
Address
1900 E Tahquitz Canyon Way, STE A1
Palm Springs, CA 92262
Contact
Phone: (760) 327-1509
Office Hours
Monday–Thursday : 8:00 AM to 5:00 PM
Friday : 7:30 AM to 1:30 PM.