Referring Doctors
Online Referral System
If you are a patient please return to our main web site by clicking here.
Collaborator 2.0 Now Online To Better Manage Patient Care
Please CLICK HERE to use Collaborator and submit a new referral or manage new patient cases with our new collaborator software.
This website will allow you to refer patients to our office and collaborate on case development. Due to stringent HIPAA requirements, you must have an individual user name and password to access this portion of our web site. For first time users, or if you have forgotten your password, please telephone us at:
Concord 925-686-5200 • Antioch 925-754-8700 • Brentwood 925-240-8111
Online Standard Referral Form
You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.
Technical Note: *Once reviewed, scroll down to submit your referral!
Mac Users
CLICK HERE TO REVIEW STEP BY STEP INSTRUCTIONS
PC Users
Our online form uses the latest version of Adobe Acrobat Reader to conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at least version 9 of the plug-in to successfully use our online form.
Concord Fax 925-686-5847 • Antioch Fax 925-754-8124 • Brentwood Fax 925-240-5227