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Dentist Referral Form

Refer A Patient to Pinnacle Periodontics & Dental Implants

At Pinnacle, we strive to provide prompt, transparent, and streamlined care to patients in the Matthews, Indian Trail, Ballantyne, and Charlotte, NC areas. We understand that referring to a member of your dental family may be hard.  However, Dr. D’Silva, our periodontics and dental implant specialist in Matthews, NC, and staff realize the importance of supporting your treatment plans while your patient is in our care. We will work with you to ensure a seamless transition of care.  

We always send the patient back to you for routine care, unless you request or feel the patient would be better cared for in our office. Please enter the details in the form below to submit your referral, and don’t hesitate to contact our office with any further inquiries. 

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