Professional Referral Forms
For dental and medical professionals referring patients to TrueSmiles Dental.
TrueSmiles Dental welcomes referrals from dental and medical practices throughout Western New York. Dr. Nour Masud brings specialized expertise in endodontics, oral surgery, sleep-disordered breathing, and TMJ/orofacial pain management.
Why Refer to TrueSmiles Dental?
- Extensive Experience: Over 20 years of clinical and academic expertise
- Specialized Training: Advanced training in endodontics, oral pathology, and TMD/orofacial pain
- Complex Cases Welcome: Experience with medically complex and special needs patients
- Collaborative Care: We communicate findings and treatment plans back to referring providers
- Prompt Scheduling: We prioritize timely appointments for referred patients
Services Accepting Referrals
Root Canal Therapy & Extractions
Dr. Masud provides expert endodontic treatment for complex root canal cases, as well as surgical and non-surgical extractions including wisdom teeth. We accept referrals from general dentists seeking specialist-level care for their patients.
Learn More About RCT ServicesSleep Apnea Oral Appliance Therapy
As one of few dentists in the area providing oral appliance therapy for obstructive sleep apnea, we welcome referrals from sleep physicians and primary care providers. We work collaboratively with referring physicians to ensure appropriate treatment and follow-up.
Learn More About Sleep Apnea TreatmentTMJ/TMD Management & Orofacial Pain
Dr. Masud holds specialized post-doctoral training in temporomandibular disorders and orofacial pain from the University at Buffalo. We accept referrals from physicians, dentists, physical therapists, and other healthcare providers managing patients with jaw pain, headaches, and related conditions.
Learn More About TMJ TreatmentDownloadable Referral Forms
Please complete the appropriate referral form and fax or email it to our office. Include relevant clinical notes, imaging, and patient contact information.
đź“‹ Referral Forms Coming Soon: Downloadable referral forms will be available shortly. In the meantime, please call our office at (716) 424-0025 or fax referral information to (716) 551-0200.
Contact Information for Referring Providers
What to Include in Your Referral
- Patient name, date of birth, and contact information
- Reason for referral and specific concerns
- Relevant medical history and current medications
- Any recent dental X-rays or imaging (digital preferred)
- Insurance information if applicable
- Your practice contact information for follow-up communication
Questions About Referring a Patient?
Our team is happy to discuss whether TrueSmiles is the right fit for your patient's needs.