Dentists & Doctors

Referring Doctors in Birmingham, AL

This page is specifically intended for inbound messages from our referring doctors. Patient inquiries should be submitted here, where they will receive personal responses, or you can call us at 205-900-9473 to speak with a team member directly. We are unable to respond to patient messages submitted through this referral form. 

These forms allow doctors to refer patients to our office via email, efax, or online form. Referring doctors please fill out online or print, fill out, scan, and eFax to 205-729-7222 or email to office@wiseomfs.com.