Referring Offices Resources

Referrals can be filled out and printed, faxed or emailed.

Email:

Fax: 605-348-1626

***We ask that referrals sent with patients have a doctor's signature on them.***

Please fill out for all SD Medicaid patients being referred for removal of 3rd molars/wisdom teeth.

Patients may print and fill out Patient Registration Forms to bring with them to the appointment, or they may complete registration forms when they arrive for their appointment.