Refer a Patient
For doctors' use only. The referral request for Dr. David Frey, DDS, at our Beverly Hills office.
Where to send a referral.
- Phone: +1 310.276.4537
- Fax: +1 310.276.4538
- Email: [email protected]
- Address: 433 North Camden Drive, Suite 1070, Beverly Hills, CA 90210
Reasons for referral.
- TMJ/TMD initial evaluation
- Headaches and migraine
- Popping and clicking of the jaw
- Shoulder and neck pain
- Tinnitus
- Sleep apnea
- Other (please specify on the form)
What the referral form asks for.
- Patient information: name, date of birth, address, email and phone number
- Symptoms and referral notes
- Referred by: the referring doctor’s name, practice, phone and email, and the referral date
Download the form.
Fill in the referral request and send it to our Beverly Hills office by fax or email.