Online Referral


We highly appreciate our dental partners! You can refer patients to our practice by completing our secure online referral form.

Once submitted, Our team will contact the patient to arrange their appointment.

Patient information

Patient's DOB*

Upload X-ray - file 1
Upload more X-ray - file 2
Upload more X-ray - file 3

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If you have any questions, please contact us at: 
The Dental Emergency Room PLLC.+1(612) 800 8008info @dental-er.us6545 France Ave S #681, Edina, MN 55435, United States