Doctor Referral Form

Welcome Referring Dentists

To our referring dentists, we want to extend our warmest thanks.

At Merheb Surgical Arts in Peoria Illinois, we value our relationships with referring dental practices and are proud to partner with you in providing excellent oral healthcare to our community. Your choice to put the care of your patients in our hands is the highest compliment our practice could receive. We have found that patients appreciate dental offices that partner with trusted specialists for complex procedures – it helps to build trust and loyalty in both practices.

To achieve a high level of trust with our shared patients, we:

  • Review cases thoroughly in advance
  • Refer back to your office for restorations
  • Collaborate with you on treatment plans
  • Are available in an advisory role if requested
  • Offer accommodating scheduling
  • Provide timely assessments and imaging

If you have any questions about our practice, please feel free to call us at Peoria Office Phone Number 309-683-3223. Above all, we want to thank you for your referral of our office.

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

Referring Doctors

To download and fill-out our Dr. Referral Form. After you have completed the form, please make sure to send it to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Technical Note:

You need Adobe Acrobat Reader to view our form. Please download the free Acrobat Reader from Adobe’s web site if it is not already installed on your system.