Patient Referral

If you have a patient for whom you’d like to make a referral to Gary D. Krueger, D.D.S., APC, please fill and submit the form below with information about your patient.

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Referral by Fax

Print, complete and fax the “Patient Referral Form” below to us.
Fax: (760) 479-0963.

Patient Referral Form (PDF)