Doctor Referrals

At Coastal Periodontics, we greatly value our relationships with general dentists, specialists, and healthcare providers throughout the Seacoast region. Our goal is to provide seamless communication and collaborative care to ensure the very best outcomes for every patient you entrust to us.

This page is designed specifically for referring doctors. Below you will find information about our referral process, preferred contact methods, and a secure referral form.

How to Send a Referral

We provide printed referral forms, or you may use the digital form below.

1. Complete a referral form – Fill in the patient’s information, treatment needs, and any relevant medical or dental history.
2. Email or Fax referral form – Scan the form and email or fax it directly to our office at: info@coastalperiosurgery.com.
   Fax: (603) 501-0595
3. Send supporting records – Please include recent x-rays, periodontal charts, or other diagnostic records if available.

Our team will promptly contact your patient to schedule their appointment and will keep you updated throughout their treatment.

Questions About a Case?

If you have any questions about a specific patient or would like to discuss treatment options before sending the referral:

• Call us directly at (603) 427-8383. Our doctors are available to review cases, answer clinical questions, and collaborate on treatment planning.