Referral Form

If you are an oral care provider with a patient with a difficult case, our oral surgeons and team will be happy to help you at Southern California Center for Oral & Facial Surgery. Dr. Jay Reznick and Dr. Sirish Makan offer various oral and facial surgery procedures in Tarzana, California, and provide a referral form for your convenience. Once you have filled it out, be sure to press the Complete and Send button. Your patient’s information will be safeguarded and protected. Call us at 818-996-1200 for any questions.

Check back soon for our doctor referral form!