Thank you for your interest in referring to Dr. William E. Mason Periodontics & Dental Implants.
How to refer a patient:
- Click on the links below to download files to your computer
- Print the form
- Fill out the form and fax to: (989) 792-4387
- Click on the links below to download the form files to your computer
- Make sure you have a copy of Adobe Reader if not click here to download
- Open the files with Adobe Reader and use your computer to fill out the form fields
- Once completed, click on the submit button
- An email window will pop up to send the form to us.