
Dental Treatment Under Anesthesia/Sedation Referral Forms
To better serve you, we offer three types of treatment referrals:
Dentist Referral (Tiny Tooth “In-house dentist” performs treatment with anesthesiologist at Tiny Tooth Office).
Credentialed External Treating Dentist Referral (Credential external dentist performs treatment at Tiny Tooth Office and Tiny Tooth performs anesthesia).
Mobile Anesthesia Referral (Tiny Tooth provides anesthesia at referring dentist office, while referring dentist is performing treatment).
Please select the specific form for your referral information and instructions.
Referral Service Options
