icon image Phone 760-837-1515
icon image Fax 760-837-1011
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Referring Doctors at

Desert Maxillofacial

We value the trust you place in us when referring your
patients. Our secure online Referral Form makes it easy
for you to send patient information to our office. Please
complete the form and press the Submit button at the
bottom to automatically send us your information. Rest
assured, the security and privacy of patient data is one of
our primary concerns, and we have taken every
precaution to protect it.

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How to Refer a Patient

Complete the Referral Form:

Fill out all required fields in our secure online form with accurate patient and referral information.

Submit Your Referral:

Once you have filled out the form, click the Submit button at the bottom to send the information directly to our office.

Data Security:

We ensure that all patient data transmitted via our online referral system is protected and handled with strict confidentiality.

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Technical Requirements

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PC Users:

Our online form uses the latest version of Adobe Acrobat
Reader to allow you to conveniently submit the form from
home or work. If Adobe Acrobat Reader is not already in-
stalled on your system, please download the free plug-in
from Adobe’s website. It is important to have at least
version 9 of the plug-in to successfully use our online

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Mac Users:

For Mac users, please open and submit the form in a
Safari browser with the latest macOS. Ensure you have
the latest version Of Adobe Acrobat Reader installed on
your computer by downloading the free plug-in from
Adobe’s website.

For any questions regarding the referral process or technical issues, please contact our office at 760-837-1515.

We appreciate your collaboration and look forward to providing your patients with exceptional care at Desert Maxillofacial.

Get in Touch

Now Serving Palm Springs

Address

1900 E Tahquitz Canyon Way, STE A1
Palm Springs, CA 92262

Contact

Phone: 760-837-1515

Office Hours

Opening hours Mon – Sat 8.00 – 18.00
Sunday CLOSED