Referral Form

A successful practice doesn’t just happen; it is the result of a strong commitment to excellence in the professional community and in the relationships we build with our patients and colleagues. We appreciate the confidence you have placed in us, to provide you with the complete care you need, and we thank you for recommending our practice to your friends and family.

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

Online Referral Form

Why Refer Your Patients to Our Practice?

At Kenneth Cavallari D.D.S, we value our relationships with referring dental practices and are proud to partner with you in providing excellent oral healthcare to our community. Dr. Cavallari is a Dual Board-Certified Periodontist with over 30 years experience. We will treat your patients using up-to-date methodologies that are literature supported and time tested. We look forward to communicating your office to ensure your patient is treated in conjunction with your office for continuing care.

To achieve a high level of trust with our shared patients, we:

  • Review cases thoroughly in advance
  • Refer back to your office for restorations
  • Collaborate with you on treatment plans
  • Are available in an advisory role if requested
  • Offer accommodating scheduling
  • Provide timely assessments and imaging
  • Available to alternate periodontal re-care appointments for perio patients