Online Oral Surgery Referral Form
Note: This Referral Form is intended for use by dental professionals only. If you are a patient, please contact our office directly.

MYPBHS Collaborator Portal – Better Manage Patient Cases Online!
Please CLICK HERE to submit a new referral to our office or to access patient cases through Collaborator.
This website will allow you to refer patients to our office and to collaborate with us on case development. Due to stringent HIPAA requirements, you must have an individual username and password for access.
Visit our helpful support pages or learn more about our secure MyPBHS Collaborator referral system.
- Forgot your password
- For first-time users, please sign up here or contact our office for an invitation to the system.
At Associated Oral & Maxillofacial Surgeons, we know how to help you. Our board-certified surgeons and expert staff can provide the care you need to relieve the discomfort you feel.
Our Commitment
We are committed to providing the highest quality care in a comfortable and compassionate environment.