Oral Surgery Clinic
123 W. Francis
Spokane, WA  99205

RE: Jane Doe referral

Dear Doctors:

I have referred Jane Doe (dob May 3, 1948) to you for extractions of:

Enclosed is a panelipse x-ray taken 7/29/2010.

I will see her for initial denture occlusion adjustment immediately after you do her extractions.

The lower immediate denture will be delivered to your office prior to her appointment.

Sincerely,

 

Randy Otterholt, D.D.S.