Online Referral Form for Dental Professionals
Use the form below to refer a patient to Aloha Dental Specialty Center for specialty consultation, treatment, or CBCT imaging. The form collects essential information — patient demographics, clinical indication, urgency level, and referring doctor contact details — so the ADSC scheduling team can contact the patient and book the appropriate appointment type without unnecessary back-and-forth.
For urgent referrals — active infections, post-traumatic injuries, uncontrolled pain — call (503) 822-0096 directly for same-day or next-day scheduling. The online form is best suited for non-urgent referrals where scheduling within one to two weeks is acceptable. Include any relevant imaging as file attachments or note that imaging will be sent separately.
After submission, the ADSC team confirms receipt with the referring office and contacts the patient within one business day. If the referral includes specific clinical questions, the specialist addresses them in the consultation report. All referral communication is HIPAA-compliant and documented in the patient record.
Serving Beaverton, Aloha, Hillsboro & Washington County
Aloha Dental Specialty Center is located at 18455 SW Alexander St, Suite B, in Beaverton, Or Oregon. We serve patients from across the Tualatin Valley and greater Portland metro, including Aloha, Hillsboro, Tigard, Lake Oswego, and Tualatin. Our Beaverton office is a 5-minute drive from Aloha, 10 minutes from Hillsboro, and 15 minutes from Tigard via SW 185th Avenue.
-
📍
Intel Campuses (Ronler Acres & Jones Farm)
10 to 15 minutes via NW 185th Ave. We accommodate the schedules of tech professionals who need efficient, high-quality specialty care.
-
📍
Nike World Headquarters
About 8 minutes via SW Baseline Rd. We frequently see patients from the Nike campus for surgical and implant procedures with sedation options.
-
📍
Streets of Tanasbourne & Orenco Station
Easily accessible via US-26 and NW 185th. Local dentists in these communities regularly refer patients to us for specialty procedures.
Why Local Dentists Refer to Us
We work as a trusted partner to referring dentists throughout the Tualatin Valley.
We handle the procedures within our scope and coordinate closely with your dentist for seamless continuity of care from start to finish.
Office hours: Mon–Fri 8 AM–5 PM (Thu & Fri until 6 PM), Sat 8 AM–2 PM
Understanding Your Investment
At Aloha Dental Specialty Center, we provide transparent pricing before any treatment begins. The cost of your procedure depends on clinical complexity, materials used, and sedation requirements. We walk you through every line item during your consultation so there are no surprises.
What Affects Cost:
- Clinical Complexity: Bone loss, sinus proximity, nerve involvement, or the need for grafting affects treatment planning and surgical time.
- Materials: We use research-backed implant systems, purified bone graft matrices, and high-strength ceramics from established manufacturers.
- Sedation: Options range from local anesthesia to IV sedation, each with different associated costs. We discuss the best option for your comfort and procedure.
Insurance & Financing
We accept most major dental insurance plans and file claims on your behalf. Our team verifies your benefits before treatment and submits pre-treatment estimates with clinical documentation to maximize coverage.
For out-of-pocket costs, we partner with CareCredit and Cherry for flexible payment plans. We also offer our ADSC Dental Savings Plan for patients without insurance.
Recovery & Healing Timeline
Understanding the healing process helps you plan ahead and follow post-operative instructions for the best possible outcome.
First 48 Hours
Mild swelling and tenderness are normal. Apply ice packs in 20-minute intervals and take prescribed or over-the-counter anti-inflammatory medication. Eat soft foods and avoid the surgical site when chewing.
Days 3 to 7
Swelling peaks around day three and then improves. The tissue begins closing over the surgical site. Continue with soft foods and use any prescribed antimicrobial rinse. Most patients return to normal activities during this phase.
Long-Term Healing
Surface tissue heals within two to three weeks. Bone integration and deep healing continue for three to six months. Avoid smoking, follow up as scheduled, and maintain good oral hygiene throughout recovery.
Questions during recovery? Call us at (503) 822-0096. We are available for post-operative concerns.
Efficient Referral Communication
Structured referral forms reduce information gaps that delay patient scheduling and preparation. Research in the British Dental Journal demonstrates that referrals containing complete clinical information — diagnosis, imaging, medical history, and specific clinical questions — result in shorter wait times, fewer duplicate procedures, and higher referring-doctor satisfaction compared to unstructured phone or verbal referrals. The ADSC referral form captures the minimum dataset needed for efficient consultation scheduling while remaining simple enough to complete in under two minutes.
Why Choose ADSC?
ADSC processes referrals through a dedicated intake system that tracks every case from submission through consultation, treatment, and return documentation. The referral workflow is managed by trained staff who understand clinical urgency levels and can escalate time-sensitive cases to same-day scheduling. Referring doctors receive confirmation of receipt, consultation reports, and treatment summaries at every stage.
Your Treatment Steps
- Consultation & Exam: Comprehensive evaluation with 3D imaging at our Beaverton office.
- Treatment Plan: Your treating dentist presents your personalized options with costs. We use advanced 3D imaging and evidence-based protocols across our specialty services.
- Treatment: Procedure performed with comfort options including sedation if needed.
- Follow-Up: Post-treatment monitoring and care coordination for optimal healing.
Schedule Your Appointment Today
Book a consultation with our team at Aloha Dental Specialty Center in Beaverton, OR. Call (503) 822-0096 Office hours: Monday through Friday 8 AM to 5 PM (until 6 PM Thursday and Friday), Saturday 8 AM to 2 PM. or request an appointment online.
Related Services at Aloha Dental Specialty Center:
Dental Implants · Oral Surgery · Root Canal · Invisalign · Periodontics · Pediatric · TMJ Treatment · Sedation · Cosmetic · Emergency · Sleep Apnea
What Our Beaverton Patients Ask About Referral Form
At Aloha Dental Specialty Center, patients frequently ask about the timeline, cost, and recovery process for Referral Form. Each case is reviewed using CBCT 3D imaging to develop an individualized treatment plan. Most Referral Form procedures at our Beaverton office are completed in one to two visits, with sedation options available for patient comfort. We accept Delta Dental, Cigna, Aetna, MetLife, and most PPO plans, and offer CareCredit financing with 0% interest for 12-24 months. Recovery varies by case complexity — our team provides detailed post-procedure instructions and schedules follow-up visits to monitor healing. If you have questions about whether Referral Form is right for you, call (503) 822-0096 to schedule a consultation at our office near Intel Ronler Acres and Orenco Station.
What Our Beaverton Patients Ask About Referral Form
At Aloha Dental Specialty Center, patients frequently ask about the timeline, cost, and recovery process for Referral Form. Each case is reviewed using CBCT 3D imaging to develop an individualized treatment plan. Most Referral Form procedures at our Beaverton office are completed in one to two visits, with sedation options available for patient comfort. We accept Delta Dental, Cigna, Aetna, MetLife, and most PPO plans, and offer CareCredit financing with 0% interest for 12-24 months. Recovery varies by case complexity — our team provides detailed post-procedure instructions and schedules follow-up visits to monitor healing. If you have questions about whether Referral Form is right for you, call (503) 822-0096 to schedule a consultation at our office near Intel Ronler Acres and Orenco Station.
What Our Beaverton Patients Ask About Referral Form
At Aloha Dental Specialty Center, patients frequently ask about the timeline, cost, and recovery process for Referral Form. Each case is reviewed using CBCT 3D imaging to develop an individualized treatment plan. Most Referral Form procedures at our Beaverton office are completed in one to two visits, with sedation options available for patient comfort. We accept Delta Dental, Cigna, Aetna, MetLife, and most PPO plans, and offer CareCredit financing with 0% interest for 12-24 months. Recovery varies by case complexity — our team provides detailed post-procedure instructions and schedules follow-up visits to monitor healing. If you have questions about whether Referral Form is right for you, call (503) 822-0096 to schedule a consultation at our office near Intel Ronler Acres and Orenco Station.
Frequently Asked Questions
Use the online form on this page, fax a referral form to the office, or call (503) 822-0096. All three methods are equally effective. Online submission provides the fastest confirmation.
Patient name, date of birth, contact phone number, insurance information (if available), referring doctor name and contact information, clinical indication, urgency level, and any relevant imaging or clinical notes.
The ADSC scheduling team contacts referred patients within one business day of receiving the referral. Urgent referrals flagged on the form or communicated by phone are prioritized for same-day or next-day contact.
Yes. The online form supports file attachments for X-rays and clinical photos. For CBCT DICOM data (which is typically too large for email), use a cloud sharing link or send the data on a USB drive with the patient.
Yes. The referring office receives confirmation of receipt via email or phone, typically within one business day.
Yes. Select "CBCT Imaging Only" as the referral type on the form. Specify the field of view needed and whether you want a written interpretation report.
Call (503) 822-0096 directly for urgent referrals. The online form is designed for non-urgent scheduling. Phone referrals for emergencies receive immediate attention and same-day or next-day appointment booking.
Yes. All referral submissions are transmitted and stored in compliance with HIPAA privacy and security requirements. Patient information is handled with the same protections applied to all clinical records.
Yes. ADSC handles referrals for implant surgery, oral surgery, endodontics, orthodontics, periodontics, pediatric dentistry, TMJ evaluation, sedation, and CBCT imaging. Specify the specialty or let ADSC triage the referral based on the clinical indication.
Small files (X-rays, clinical photos, treatment plans) can be attached to the online form. Larger files (CBCT data) should be sent separately via cloud link or USB. The form has a notes field to indicate that additional records are being sent.
Yes. A detailed consultation report is sent to the referring office after the patient's visit. The report includes diagnosis, imaging findings, treatment recommendations, and any answers to specific clinical questions included in the referral.
Yes. Any authorized member of the referring practice can submit referrals using the online form, fax, or phone.
Contact (503) 822-0096 to obtain the fax number for referral submissions. Digital submission through the website is preferred for speed and reliability.
Call (503) 822-0096 or submit your first referral. The ADSC team will add your practice to the referral network, ensuring smooth communication for current and future patients.
Yes. The online form is available 24/7. Referrals submitted outside business hours are processed the next business day. For after-hours emergencies, call the office and leave a voicemail — the on-call team monitors messages.