Online Referral Form

You may refer patients to our offices by filling out the referral form that corresponds with the location you’re referring to.  

The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.  

Refer to Baytown

Refer to Pearland

Refer to Houston – Medical Center


If you have any questions about referring patients to our practice, call us at  Oral & Maxillofacial Surgery Associates of Texas Phone Number 713-795-4120