Drs. Todd Yamada, June Tanpattana & Andrew Ikazaki
Board-Certified in Periodontics-Dental Implants
Diplomates of the American Board of Periodontology

Referring Doctors

To Our Referring Doctors,

For your convenience we have provided a Doctor's Referral Card

Please feel free to print and fax this form to our office or have the patient bring the completed form with them to their visit to our office.

If you or your staff have any problems getting these files to print properly, please call our office and we will gladly assist you!

Thank you so much!