Online Referral Systems

Securely refer oral surgery patients to San Luis Oral Surgery and Dental Implant Center through our secure Online Referral form, LOOP, or Downloadable PDF.

Online Referral Form

After you have completed the form, please make sure to press the Submit button at the bottom. After submitting the form, you have the option to securely upload any imaging as well as save a summary of the referral and directions to our office.

Clickable button to launch online secure Doctor Referral form


Log in here to submit a referral via LOOP and manage patient cases. 

If you have LOOP questions or would like to get your office set up with LOOP, please reach out to our office:San Luis Obispo Office Phone Number 805-541-5611.

PDF Referral Slip:

We also have a PDF Referral Form for your convenience. Please download a copy of this referral, fill it out, and send it via email to ([email protected]) or Fax (805) 541 – 2328.

The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

Call our office for assistance: San Luis Obispo Office Phone Number 805-541-5611.