To simplify your experience, we offer multiple secure options for submitting referrals:

Refer a Patient

At Clackamas Implant & Oral Surgery Center, we value the trust you place in us when referring your patients. Our goal is to make the referral process smooth, efficient, and supportive for both your team and the patients you care for.

How to Refer

You can refer a patient in one of the following ways:

1. Online Referral Form

Use our secure digital referral form to quickly submit patient information and any relevant documents or images.

Online Referral Form

2. Downloadable PDF Referral Form

Prefer a printed form? Download, complete, and fax or email it to our office.

Download Form


 ? Fax: 503-652-8992
? Email: in**@******************ry.com

3. Call Our Office

We’re happy to take referrals by phone and answer any questions you may have.
Phone: (503)652-8080

What to Include

To ensure a seamless experience, please provide:

  • Completed referral form
  • Any relevant radiographs or CBCT scans (emailed or uploaded via form)
  • Treatment notes or goals (if applicable)
  • Patient contact information

We will promptly contact your patient to schedule their visit and keep you informed at every step of their care.

Our Commitment to You and Your Patients

  • Prompt scheduling and surgical availability
  • Clear post-op communication and case updates
  • Full access to our surgical team for collaboration or consultation
  • Patient-first approach that enhances their trust in your practice

We’re here to support your care and make your patients feel safe, heard, and respected.

Thank you for partnering with us.
 We’re honored to work alongside you in restoring health, confidence, and smiles.

Why Partner with Us

At Clackamas Implant & Oral Surgery Center, we’re proud to serve as a trusted surgical extension of your practice, delivering advanced, compassionate care that reflects your standards and supports your treatment goals.

Surgical Excellence, Backed by Expertise

Our board-certified oral and maxillofacial surgeon provides full-scope surgical care, including:

  • Dental implant placement
  • Bone grafting and ridge preservation
  • Wisdom tooth extraction
  • Full-arch, fixed bridges

You can refer with confidence, knowing your patients are in the hands of an experienced surgical team.

Cutting-Edge Technology for Predictable Results

We’ve invested in a fully digital, high-precision workflow that minimizes chair time, enhances patient comfort, and improves outcomes:

  • CBCT imaging for 3D diagnostics and detailed treatment planning
  • X-Guide™ surgical navigation for real-time guided implant placement
  • TRIOS® intraoral scanner for clean, fast, and accurate digital impressions
  • Photogrammetry for exceptional accuracy in full-arch implant restorations
  • In-house 3D printing (SprintRay Pro 2) for same-day guides, models, and provisionals

Our integrated technology supports faster turnaround, fewer appointments, and precise, prosthetically-driven results.

TiUltra™ surface: backed by real science

Seamless Communication & Coordination

We make it easy to collaborate. You’ll receive timely updates, surgical reports, and open communication with our team to ensure smooth transitions between offices and complete continuity of care.

Patient-Centered Care that Reflects Your Values

We treat every patient with the same respect and empathy you would, providing education, comfort, and support throughout their surgical journey. Our goal is to enhance your reputation by making every referral a positive experience.

We view every referral as a partnership. Thank you for trusting us with your patients. We’re honored to help support their health, confidence, and long-term success.