Questions? Call Us Now : (607) 785-3339

Patient Referrals

Thank you for trusting Vestal Dental Associates with the care of your patients. Our team — Drs. Nolan Robinson, Troy Robinson, Fritz Zietsman, and Levi Upham — welcomes referrals for surgical, prosthodontic, and restorative cases, from single implant placements and extractions to full-mouth rehabilitation, sedation dentistry, and TMJ care. We are equipped to handle complex restorative and esthetic cases alongside the full scope of general referral needs.

To make the handoff as smooth as possible for you and your patient, please complete the referral form below. You can submit it online in just a few minutes, or download the PDF version to print, fill out, and send to our office. Whether you are requesting a consult only, a treatment plan, shared care, or full treatment, we will keep you informed at every stage and return your patient to your practice for continued care. You may also download our printable referral form to complete, sign, and fax or mail to our office at 533 Clayton Ave, Vestal, NY 13850 — fax: (607) 785-0783.

Please enter the referring doctor's name.
Please enter a contact phone number.

Patient name is required.
Date of birth is required.
Patient phone number is required.


Please send all images to:  vestaldental@gmail.com





* Required fields

Proudly Serving Patients in the Following Communities