Referral Form For Referring Doctors

Accepting New Patients In Falls Church, Sterling & Gainesville

At One Endodontics, we value our relationships with referring dental practices and are proud to partner with you in providing excellent oral healthcare to our community.


To achieve a high level of trust with our shared patients, we:

  • Review cases thoroughly in advance
  • Refer back to your office for restorations
  • Collaborate with you on treatment plans
  • Are available in an advisory role if requested
  • Offer accommodating scheduling
  • Provide timely assessments and imaging


We have a selection of tools and resources assembled here such as a referral form and links to articles you may find interesting. If you have any questions about our practice, please feel free to call us at our Falls Church Office at Falls Church Office Phone Number 703-783-2345, Sterling Office at Sterling Office Phone Number 703-844-9070 or our Gainesville Office at Gainesville Office Number 703-745-5698.


Please click on the referral forms buttons below that best suit your needs: