Referring Doctors

Thank you for referring your patient to Pinnacle Oral Surgery Specialist. Please fill out our online referral form below. You have the option to have a copy of your submission emailed to your office to document in your patient’s record.


Once you have completed our online form and attached any supporting images or documents, please click the blue submit button.


Please contact our office directly by email:

Online Referral Form

Fill out my online 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