Endodontic Referral Form

All referrals submitted electronically can take up to 30 minutes to upload in our system. Please let your patient know of this as we may not have their information ready to schedule an appointment. If this is an emergency call our office first to schedule an appointment on behalf of your patient.

Referral Form


Once again please feel free to call if you have any questions or concerns regarding your patient or the initial visit. Thank you.

Please call us at Phone: 503 222-5580
or via email: zeke@edwardsendodontics.com

Dr. Edwards Office is located Downtown
833 S.W. 11th Ave
Suite 910
Portland, OR 97205