Patient Referral

Fill out the online Referral Form to refer patients to our office, and email any current x-rays to scheduling@eugenekidsdentist.com.

Referral Form

Or if you prefer download the Referral Form. You can refer patients to our office by filling out the form on the button below. After completing the form, email it to scheduling@eugenekidsdentist.com along with any current xrays.

Contact Us

4122 Quest Drive, Eugene, Oregon 97402

P: 541-844-1667 / F: 541-505-8463

Hours

Mon–Fri | 8-4pm Sat & Sun | Closed

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