top of page

Referral Form

Welcome to North Carolina Hospital Dentistry (NCHD).  Our primary focus is treating Dental Patients with General Anesthesia at the hospital.    Please have the patient type their email address in the box below  Cases are completed either at Duke Regional, Duke Raleigh, DASC, or WAKE MED Hospital (New Bern AVE, Raleigh, NC).  Email is mandatory and required for communication.   Patient must complete paperwork within 30 days of referral.  Tell your patients to expect an email within 24 hours of referral

bottom of page