Doctors: Refer a Patient

Referral Form for Other Practices

This form is for other doctors to complete electronically to refer a patient to a specialist at Worthington Dental Group.
  • Please list the name of the patient whom you are referring to Worthington Dental Group.
  • Please list your name and/or the name of the practice at which you are employed.
  • Please list the phone number at which it is best to reach you, beginning with area code.
  • Please briefly describe the nature of the patient's presenting concerns.

Patient Testimonials

“I have been having dental issues since August 2012 and Worthington Dental Group are the only ones who figured out what the issue truly was and now I will be pain free! Thank you to the entire staff there, I have already recommended you.”

— Eve

“Pleasant new surroundings. Staff is always welcoming and friendly. Love access to the mall for rewarding myself for visiting the dentist!”

— Susan

“Always a positive and painless experience!”

“Just wanted to thank you for (on very short notice) working in my mother-in-law today; we so appreciated Toni and Dr. Cunnningham’s quick repair of her broken bridge. It is this kindness, professionalism and expertise that mean so much to your patients. We will continue to recommend your office to anyone in need of dental care.”

“Everyone is so pleasant and helpful. There is no way my experience could be any better!! Especially the office staff.”

“Dr. Cunningham is a fantastic dentist. Over time he has re-done all of my old crowns and added new ones giving me a beautiful smile. He works with an in- house lab so everything is prompt and perfect. Most of his staff has been there the entire 12 years I have been a patient so they are very accomplished and and it speaks well of him as an employer.”

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