Doctor Referral Slips

On this page, you may use 2 ways to complete your Doctor Referral Slips by downloading, completing and sending through mail service (Option 1)or by filling out the following form and submitting it to us (Option 2)

Option 1:

Download and fill out the referral form. Please mail, fax or email it to us for review to the (contact information below)

HIPPA Compliant Email:  info@otrafforddental.com

Fax:  617-859-8001

Mailing Address:  388-390 Commonwealth Ave, Unit B-1, Boston MA, 0221

Option 2

Fill out the online form below.

Online Referral Form