Oral Surgery Referrals - Las Vegas

You may refer patients to The Center For Oral Surgery of Las Vegas by filling out our secure online Oral Surgery Referral Form below. Following the completion of the form, be sure to select the Submit button at the bottom of the page to send us your information. The security and privacy of patient data is of utmost importance to us as we care deeply about each one of our patient’s privacy.

Please fill the form below.
*Disclaimer: For Referring Doctor Use Only.*








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COVID-19 Updates

A COVID-19 message and well wishes from the Center for Oral Surgery of Las Vegas to all of our patients.


The health and safety of our patients and staff is our number one priority. Per CDC guidelines we will be continuing with or instituting the following measures. Other measures will be instituted as guided by the authorities.


  • Our staff will be wearing enhanced personal protective equipment (PPE).
  • We will be monitoring the health of employees and keeping home any employee who displays symptoms of COVID-19.
  • We will be providing services by appointment only and communicating any special instructions to the patient for the appointment (i.e. face covering).
  • We will be limiting the number of people allowed inside the office at any given time.
  • We will be requiring temperature checks and health screenings for patients before entering the office.
  • We will be limiting the contact between the administrative staff and the patients, such as eliminating check-in forms and receipts when possible.


Please fill any forms online at our website.