Referring Doctors

We provide an on-line version of our referral form for your convenience. The completed referral form will help us prepare for your patient.
We invite you to give a copy to your patient and fax a copy of the completed referral form to Dr. Copeland at:
Libertyville Fax: (847) 367-0054
Lake Geneva Fax: (262) 248-3639

Forms

Download our Endodontic Referral form and map in a two page PDF format.

Questions? Contact Dr. Copeland

Dr. Copeland would be happy to discuss your patient’s case personally, please do not hesitate to call him at:
Illinois Office: (847) 367-0118
Wisconsin Office: (262) 248-0115

We are available After Hours

If you or your patient need to contact Dr. Copeland after hours, please call our office at:
Illinois Office: (847) 367-0118
Wisconsin Office: (262) 248-0115

Referring Doctors