Referral Form

Refer Patients to H&L Dentistry in Durham NC

For providers to refer patients to our office, please download, print out, and complete our Referral Form. After you have completed the form, please fax it to (919) 403-2392.

For assistance, please call our Durham office at H&L Dentistry Phone Number (919) 493-1402.

Download our Referral Form

The security and privacy of patient data is one of our primary concerns and we take every precaution to protect it.

Technical Note

This forms is 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 this document.