We appreciate your referrals

To ensure your patients have a successful outcome, please fill out and electronically submit the form to the right, or print the pdf version below and email or fax it to our office, or simply give it to your patient to bring with them to their first visit.

Contact Us By:
EMAIL: info@northgateendo.com
PHONE: 206.367.5500
FAX: 206.367.5501

Doctor Referral Form (pdf) – print version

Upload the patients x-ray's or scanned referral form
(jpg or pdf documents only)