Referral Form for Dentists

Scott A. Reef, DDS, MSD, Justin J. Villanueva, DMD, MSD, DHL and Brandi Herron, DDS – Periodontal Associates of Lafayette

Please forward this printable referral form to us when sending one of your patients our way.  As always thank you for your referral.

Are You Looking for Excellent Periodontal Care?

At Periodontal Associates of Lafayette, we strive to provide the highest quality state-of-the-art periodontal care, while individualizing treatment to each patient’s needs. Call us today!

Call us: 765-447-9319 Schedule Real-Time Appointment