Refer a Patient
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To find out if your doctor works with Dr. Hsu, please contact us at: (425) 658-0850
Online Patient Referral Form
A successful practice doesn't just happen; it is the result of a strong commitment to excellence in the professional community and in the relationships we build with our patients and colleagues. We appreciate the confidence you've placed in us to provide you with the complete care you need, and we thank you for recommending our practice to your friends and family.
We are extremely proud of the offices that have selected Kirkland Periodontics & Implants as their partner in oral health. Our referral network extends across Washington State and includes doctors from Bellevue, Redmond, Seattle, Woodinville, Bothell, Lynnwood, Everett, and Yakima. Patients are referred from parts of Oregon and Alaska as well.
If you are here to refer a patient to our practice, please provide us with the information above. Once you've completed the form, Decide if you would like to save/print a copy of the document for your records, then click on the “Submit Referral” button that reveals at the bottom of the form. Alternatively you can download our printable referral form and fill it out by hand.
