Referring Doctors

Referring Doctors Online Forms

At Acharya Periodontics & Implants, we value our relationships with referring dental practices and are proud to partner with you in providing excellent oral healthcare to our community.

Doctors may refer patients to our office by filling out our secure online Referral Form below. After you have completed the form, please make sure to click X button at the bottom to automatically send us your information. The security and privacy of patient data are one of our primary concerns and we have taken every precaution to protect it.

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

2651 Brambleton Ave

Roanoke, Va 24015

540-283-0959

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Opening Hours

M, W, Th, F: 8:30 - 4:30pm Tue: 8:30 - 12:30pm

Appointment Booking

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