Referral Form

Thank you for your referral!

We appreciate the trust you place in us when referring your patients. Please fill out the encrypted form below to start a patient referral, request a second opinion, or schedule a consultation with our practice. Our commitment is to treat your patients with the utmost care and compassion.


Request an Appointment

We are taking new patients in Columbus and the surrounding Midwest area. We offer a wide range of endodontic treatment services, including root canal therapy, root canal retreatment, and apicoectomy.

Our Location

Conveniently Located in Columbus

(614) 555-3333

456 Root Canal Rd
Columbus, OH 43215

Hours:
Monday-Friday: 8:00am-5:00pm
Saturday-Sunday: Closed

Referring Doctors

Now Accepting Patient Referrals

Demo Endo Test 3 accepts patient referrals in Columbus and the Midwest area. Our endodontists work closely with referring dentists to ensure optimal patient care experiences and treatment outcomes.

Associations and Memberships

We’re proud to be affiliated with the following organizations:

American Academy of Implant Dentistry AAID Black
American Dental Association
American Board Of Oral Implantology Black

5-Star Patient Reviews