Grossmont Oral Surgery Center
Randall Stettler DDS Oral & Maxillofacial Surgery
Call: (619)463-4486

Doctor Referral Form

WELCOME TO OUR ORAL SURGERY CENTER

  • If you are a MINOR (under 18 years old), you must be accompanied by a parent or legal guardian.
  • Please bring both of your medical & dental insurance documents on the day of your appointment.
  • If by necessity, you must cancel your appointment, please notify us at least ONE DAY in advance.
  • A letter will go to your concerned dentist that will be basis for your continuing care.
      

If needed, you can download the Referral Form Here to print.

Referred by Doctor: Referring Doctor's Phone:

Introducting Patient


First Name: Last Name: Patient Phone #:

Please mark teeth to be treated:

Decidous:

X-Rays:

Consultation/Procedures (check preferred and indicate below):

Remarks:

Testimonials

I cannot say enough and how happy and satisfied I am by my experience with Dr Stettler and his staff the compassion and caring as I Was preparing to have all of my teeth pulled and being scared of being at a dentist. His communication and helpfulness made the process a breeze. His sense of humor was a big help and put me at ease. I am so blessed to have chosen him to have this procedure. I highly recommend him to anybody. I already have two friends and family!! Going to the dentist is something nobody wants to do but somehow they make it such an easy process and I am so grateful for them! Thank you everybody in the office for my beautiful new smile you guys rock!

Doug Fields

I have had great service from everyone at this place. I highly recommend them. Dr. Stettler is a very talented and funny guy.

Cheryl Cohen

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