For Dental Professionals

Refer a Patient

Submit your referral online and we'll follow up within one business day. You can also fax this form to (561) 622-6580 or Call Now (561) 821-4039.

Why refer to us

Specialist periodontal & implant care your patients can trust

Dr. Baradarian and Dr. Ceravolo limit their practices entirely to periodontics and implant surgery. We communicate treatment updates and return patients to your care promptly.

Contact & Fax
Fax Wellington: (561) 790-5700
Fax PBG: (561) 622-6580
Office Locations
1037 S State Road 7, Suite 217 · Wellington, FL 33414
3365 Burns Rd, Suite 201 · Palm Beach Gardens, FL 33410
Most insurance plans accepted
Patient Referral Form

All fields marked * are required. We'll contact you to confirm receipt.

Patient Information
Referring Doctor
Instructions
Reason for Referral
Radiographs
Clinical Notes
Planned Restorative Treatment

Your referral is sent securely. We'll confirm receipt within one business day.

Referral received!

Thank you. We'll contact your office within one business day to confirm and schedule the patient.