Referrals

PATIENT REFERRALS AT LANE & ASSOCIATES

Due to our close working relationships with other dental offices in North Carolina, a large majority of Lane & Associates patients are referred to us by other doctors. It is our desire to continue to foster these partnerships with dentists across the state. We are thankful that you have chosen Lane & Associates as your referral location of choice.

Doctors: Refer Your Patients to Our Dentist Offices in Raleigh-Durham & Beyond

If you are a doctor and would like to refer one of your patients to our dentist offices in Raleigh, Durham, Greensboro, Winston-Salem or surrounding areas, please fill out the form below.

Our team offers a wide variety of dental services your office may not be able to, including:

Oral surgery
Orthodontics
Sleep Apnea treatment – If you are a medical doctor that needs to refer patients for C-PAP Alternative treatment please fill out the form below and select “Dental Sleep Medicine” under location.
TMJ disorder treatment

Additional questions? Feel free to give us a call at 1-877-526-3337. We’d be happy to assist you!

Referral Submission Form

Patient Information
Patient's Name*
First Last
Patient's Date of Birth (DOB)*
Month
Day
Year
Patient's Email*
Patient's Phone*
Referring Practice Information
Referring Practice Name*
Please also list the referring doctor's name if different from Practice name.
Referring Practice Phone*
Referring Practice Email*
Submitter's Name*
Submission Information
Lane & Associates Referral Location*
Referring Information for our Doctors*
Please list any relevant information and attach files below.
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PATIENT REFERRALS AT LANE & ASSOCIATES

Doctors: Refer Your Patients to Our Dentist Offices in Raleigh-Durham & Beyond

Referral Submission Form

Patient Information

Referring Practice Information

Submission Information