This page is for doctors and staff who refer patients to Fallon Oral Surgery of Syracuse. Our goal is offer an alternative way of obtaining referral forms electronically, ease the referral process, reduce wait times and ultimately increase overall patient care.

Directions:

• 1) Select a referral form
• 2) Print referral form
• 3) Fill out
• 4) Send to our office via email, fax or via patient.

Please contact our office directly with questions or concerns.

Patient Referral Form - TRAUMA
Patient Referral Form - PATHOLOGY
Patient Referral Form - ORTHOGNATHIC
Patient Referral Form - IMPLANTS
Patient Referral Form - EXTRACTIONS