Referring doctors
Medical clearance requests
Help us keep your patient safe. Submit medical clearance below and our surgical team will review it before the patient's procedure.
For physicians & care teams
Medical clearance request
- About 3 minutes
- Encrypted & private
Our team typically responds within one business day.
Medical clearance FAQ
Who should complete this form?
The patient's physician, specialist or care team. It confirms the patient is medically cleared for oral surgery and sedation, and shares relevant history.
When should clearance be submitted?
As early as possible, ideally at least one week before the scheduled procedure, so our surgeons can review it and plan the patient's care.
Can I send records or lab results?
Yes. Include relevant notes in the form, or call either office and our team will tell you the best way to send supporting records securely.