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.

If you need the latest version of the free Adobe Acrobat Reader software, download Adobe Acrobat Reader now.

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