Online Referral Form

Thank you for thinking of us!! We offer several convenient options for your to refer a patient to our office. Please choose your preferred method from the list below.

Refer a Patient:

Option 1: Online Referral    (Complete our online referral and upload x-rays)
*If this is your first time submitting an online referral, our system provides you with the option to download a pdf copy for your records.

Option 2: Upload Referral   (upload pdf of paper referral and x-rays)

Option 3: Printable Referral

Option 4: Securely send referrals and x-rays to [email protected]

Contact Us

Office Hours

Monday:   7:30am - 4:30pm
Tuesday:   7:30am - 4:30pm
Wednesday:   7:30am - 4:30pm
Thursday:   7:30am - 4:30pm

Call Smileboston Cosmetic and Implant Dentistry Phone Number 617-277-4100 if you have any questions or would like to contact our office.