Referral Forms

Dr. Elyassian’s number one priority is patient satisfaction. He understands how important to referring dentists is the level of care and service their patients receive from someone they have recommended. He only performs procedures not handled by a referring dentist.

If you have not yet met Dr. Elyassian, we would like to schedule a lunch or dinner meeting so you would experience first hand his passion and sincerity when it comes to taking care of patients. We also welcome you to visit our office to see State-of-the-art setup and some of the highly complex and difficult cases Dr. Elyassian has handled. Please call our office to schedule a meeting at your convenience.

View and print forms:

Referral Form:

Accepted Insurance plans