Referrals

This page contains instructions and forms for general practitioners to refer patients for specialty care.

If you have any questions, please call us at (818) 547-2804.

1. For all of these types of insurance, simply fill out a referral card and send it along with your patient.  We’ll do the rest.
   

2. No other form or action is needed.
   

3. If you are out of referral cards, please call us for more, or see the forms page.

1. These HMOs require:
   

2. an insurance referral form.
   

3. Mouse over for their phone number.
   

4. Click for the insurance referral form.
   

5. 
   

6. •Aetna / DMO
   

7. •Blue Cross / Dental Net / Anthem
   

8. •California Dental Network
   

9. •Cigna
   

10. •Golden West
    

11. •MDC / MDG (Guardian HMO)
    

12. •Safeguard / Smile Saver
    

13. •United Concordia
    

1. These HMOs require:
   

2. an authorization number.
   

3. Mouse over for their phone number.
   

4. No special form is needed.
   

5. 
   

6. •Assurant (UDC)
   

7. •DHS
   

8. •California Benefits (auth is optional)
   

9. •Community Dental
   

10. •PacifiCare
    

11. •Pacific Union
    

12. •PMI / Deltacare
    

13. •Western Dental