Online Referral System

MySecurePractice Collaborator – To Better Manage Patient Care

Please CLICK HERE to access patient cases through Collaborator.

Click Here to access Collaborator

This website will allow you to refer patients to our office and to collaborate with us on case development. Due to stringent HIPAA requirements, you must have an individual user name and password for access.

Visit our helpful support pages or learn more about our MySecurePractice Collaborator referral system.


Online Referral Form

For your convenience, you may refer patients to our office by filling out our secure online Referral Form or by simply printing if you wish.  After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.  Forms can be emailed to [email protected]

 Referral Form