Kam Dental Referrals

To streamline the referral process, please fill out the secure referral form below with your patient’s details, the treatment required, and any relevant medical history. Thank you for choosing Kam Dental for your referral needs. Should you have any questions or require further assistance, please do not hesitate to contact us.

Kam Dental Referral

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Patient Information

Patient's Name*
MM slash DD slash YYYY
Does The Patient Require Antibiotics Prior to Dental Treatment?*
Please Call patient*

Referring Doctor Information

Referred By*

Procedures

Extractions*
Full Mouth Implants*
Single Implant*
Bone Grafting*
Sedation*

Extracting Information

tooth number chart

Radiographs or Clinical photos

Radiographs / Clinical Photos*
Max. file size: 6 MB.

Case Notes

Kam Dental – Humble, Texas

18477 W Lake Houston Parkway #80
Humble, TX 77346
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Hours

Monday: 8:00 am - 1:00 pm, 2:00 pm - 5:00 pm
Tuesday: 8:00 am - 1:00 pm, 2:00 pm - 5:00 pm
Wednesday: 8:00 am - 1:00 pm, 2:00 pm - 5:00 pm
Thursday: 8:00 am - 1:00 pm, 2:00 pm - 5:00 pm
Friday - Sunday: Closed

Phone

281-812-3333

Email Address

[email protected]

Kam Dental – Baytown, Texas

6920 Garth Rd
Baytown, TX 77521
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Hours

Monday: 9:00 a.m. - 1:00pm, 2:00pm - 5:00 p.m.
Tuesday: 9:00 a.m. - 1:00pm, 2:00pm - 5:00 p.m.
Wednesday: 9:00 a.m. - 1:00pm, 2:00pm - 5:00 p.m.
Thursday: 9:00 a.m. - 1:00pm, 2:00pm - 5:00 p.m.
Friday: 9:00 a.m. - 3:00 p.m.
Saturday: 9:00 a.m. - 3:00 p.m. 25% deposit required when scheduling appointment
Sunday: Closed

Phone

(281) 421-5950

Email Address

[email protected]