Refer a patient

Online referral

Send a referral

Prefer to talk? Call us at 770-992-4844, fax (770) 641-1511 or email info@attiaoms.com. You can also use our current secure referral form.

Referring doctor

Practice name

Practice phone

Practice email

Patient name

Patient phone

Tooth number(s)

Urgency RoutineUrgent, patient in pain

Reason for referral Wisdom Teeth / Impacted Teeth Extraction Dental Implants Bone Grafting / Sinus Lift Orthognathic (Jaw) Surgery TMJ Disorder Oral Pathology / Biopsy Evaluation / diagnosis only

Clinical notes

Send Referral

Preview form. No information is stored or transmitted. Please do not include personal health information.

Why doctors refer to Dr. Attia

A partner for your surgical cases

• Board certified oral and maxillofacial surgeon, Emory trained
• Full scope: impacted teeth, implants, bone grafts, pathology, orthognathic surgery and trauma
• IV anesthesia with ATLS, ACLS and PALS certification
• Hospital privileges at North Fulton, Northside and two Emory hospitals for complex cases
• A warm, comfortable and technologically advanced environment for your patients
• Your patient returns to you for restorative care, with clear communication throughout