Diana C. Fat, DDS

Doctor Referrals

Referring Doctors | Prosthodontics

Diana Fat, DDS

To our referring doctors, thank you for trusting us with your patients. We understand you have a choice when it comes to referring your valuable patients. Dr. Diana Fat and our team in Sacramento couldn’t be more thankful for your referral.

You may preregister your referral patient with our office by filling out our online referral slip, which will assist our team in treating your referral patient in a more timely manner.

Refer a patient

Optional:
Doctor Referral Form – Please download or print and return to our office.

Fax: 916-446-6636

If you have any questions, please contact our office at (916) 448-5333. We look forward to speaking to you and offering your patient the treatment they deserve!

Fill out the form below or call us today. Our team of dental professionals is ready to help! *All fields are required for a successful submission.

Patient Name

Patient Phone Number

Patient Email Address

Referring Doctor

Referring Phone Number

Referring Email Address

REFERRING PRACTICE

REASON FOR REFERRAL

Chief Concern(s):

By providing my wireless phone number and/or email, I agree and give consent to receive communication from Diana Fat, DDS, via text message and/or email.