Online Referral Form

You may refer patients to our office by filling out our secure online Referral form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. After you submit your form, you will have the opportunity to securely upload and transmit images of patient radiographs.

Clickable button to launch a secure online Doctor Referral form

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

For assistance, please call our office: Wake Oral & Maxillofacial Surgery Raleigh NC Office Phone Number 919-783-9920.

Office Hours

Monday through Thursday:   8:00 AM–4:30 PM
Friday:   8:00 AM–2:00 PM
Saturday through Sunday:   Closed