Provider Resources - Grant McGann Oral Surgery

Patient Referral to McGann Oral Surgery

Please complete the referral form and provide a copy to your patient to bring to their appointment.

Any X-rays that may be utilized in our office can be emailed to contact@mcgannoralsurgery.com.

Important: The fillable PDF feature may not be secure when completed directly in a web browser. Information entered into the form could be lost if the browser refreshes, closes, or freezes before the form is saved. To avoid losing data, please download the form first, complete it, then save it before printing or emailing it. If preferred, you may print the blank form and complete it by hand.

This referral form is intended for use by licensed healthcare professionals referring patients to Dr. McGann for oral surgery services.

McGann Oral Surgery Referral Form Download

_{**This Patient Referral form is for clinical communication only and is not an official prior authorization or insurance-approved referral.(Children’s Primary Medical Group patients will need to contact their PCP to submit a request for an authorized referral to Dr. McGann.)}