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Referring Doctors

Fox River Periodontics

To refer patients to our office, please download and complete the referral form below. Please fax or mail the form to our office.

Referral Form (PDF)
Referral Image Guideline (PDF)

2557 East Calumet
Appleton, WI 549153

Phone: 920-733-7770
Fax: 920-733-7798
Email: info@foxriverperio.com

At Fox River Periodontics we strive to facilitate the success of our referring dental teams through a combined commitment to provide the highest level of care for our patients. Thank you for the confidence expressed by your referral.