Doctor Referral Form

You may refer patients to our Rochester NY Prosthodontics office by downloading and printing our online Referral Form. After you have completed the form, please fax it to 585-248-8643 to send us your information.

Download Referral Form

If you have any questions, please call our office at Brodine Prosthodontics Phone Number 585-248-8580.

Office Hours

Monday through Thursday:   8:00 AM - 4:00 PM

At Brodine Prosthodontics, we value our relationships with referring dental practices and are proud to partner with you in providing excellent oral healthcare to our community.

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 Brodine Prosthodontics Phone Number 585-248-8580.

Above all, we want to thank you for your referral of our office.

Technical Note

These forms are in PDF format. If you do not have Adobe Reader installed on your computer, you may download Acrobat Reader for free and use it to access the forms.