Referring Doctors

Referring Doctors

We have conveniently provided our referral forms below so that you can fill them out in the comfort of your office, and have the patient bring them to us.

Dental Implant Referral Form
Periodontics Referral Form

Introducing Crystal Bonati

Crystal will be the relationship link between our offices. She joined our team established in dentistry with 44 years of experience. Her journey has in-cluded dental & medical assisting, man-agement, sales, consulting, and also per-sonal coaching.

She is our Professional Relationship Director. As our new team member her position will involve supporting our relationship and your office team. Her demeanor and positive attitude will allow a clear and open line of communication to help ensure we are provid-ing an unparalleled level of service to your patients. Crystal will be available to provide hands on learning to your team members and be a link to our services and knowledge.

Away from the office Crystal and her husband Charlie have 7 adult children, 17 grandchildren, and 2 dogs, Larkin & Lucas. She has the same passion for dentistry as she does for life.

“People don’t care how much you know, until they know how much you care.” John Maxwell

TIPS FOR REFERRING A PATIENT

• If possible, please appoint the patient for a consultation with our office while they are still in your office. This way we can get your patient the earliest and most con-venient appointment time possible.
• When the patient leaves your office, please email the referral information to our office at: office@southernrootsky.com
• When emailing the referral slip, please include the radiographs and insurance in-formation for the patient being referred. We prefer to have an FMX so we can diag-nose as much as possible, even if you are sending the patient over for a limited exam.
• If you do not have digital radiograph capabilities, please mail us a copy of the ra-diographs to: Drs. Estes & Marlow8136 Mall Rd Florence, KY 41042

Please let us know if you have any appointed-back preferences. We want to make sure we facilitate the patient going back to your office in a smooth and efficient man-ner.