Referral Form

If you are a dentist or a doctor, and you have a patient you’d like to refer to Dr. Barry Dace or Dr. Rachel Doody, please feel free to call, e-mail or fax us the details of your patient, and what you’d like us to address for them.

Alternatively, if you wish to download and use our pre-made referral form, we’d be happy to receive it by mail, fax, or e-mail.

To download a copy of the referral form, click here.