Referring Doctors

Thank you for referring your patient to Pinnacle Oral Surgery Specialist. Please fill out our online referral form below.


Once you have completed our online form and attached any supporting images or documents, please click the blue submit button.
If you received an error message during your submission please note that you must reattach your file or files.


Please contact our office directly by email: [email protected]

Online Referral Form

Two Locations Conveniently Near You

3014 Ridge Rd, Rockwall, TX 75032

(469) 698-9800

804 Gilmer St, Sulphur Springs, TX 75482

(469) 698-9800