Do you have a patient in need of periodontal services or dental implants for a missing tooth? If so, Dr. Jeffrey M. Garcia and Dr. Kinan M. Al-Bitar are happy to accept any referrals here at Lake Country Periodontics & Implant Dentistry. Fill out the form below and give us a call if you have any questions for our periodontists and team in Waukesha and Mukwonago, Wisconsin.
Printable Doctor Referral Form
PDF Doctor Referral Form
Word Doctor Referral Form
Here is were you can upload the printable doctor forms and attach x-rays as well!
Online Doctor Referral Form
