Referrals & Forms

To refer a patient for treatment please complete and submit the referral form below.

We welcome referrals from all clinicians and dental specialties. If you would like to refer a case to us we are happy to help. Whether it is working with you on a consultation only basis or referring patients for treatment – we will work in partnership with you to ensure successful treatment outcomes.

At Imperio, we work closely with referring dental practitioners.
We will Keep you informed of the Patient’s progress at every stage.

Refer a Periodontic Patient
Refer a Prosthodontic Patient

Ask your dentist if they are micro-ig Imperio Preferred