Referral Forms

Please download the referral form below, fill it out, and upload it to the field below.  In addition, please attach any necessary x-rays or pictures that pertain to the patient and label the file with the patient’s name for us to reference accordingly.

Drop files here or
Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 5.
    Drop files here or
    Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 5.
      Please label the files with the patient’s name.

      Request An Appointment Today!

      When you visit Trillium Oral Surgery and Implantology, we can serve you at our Plymouth, Ann Arbor, and Chelsea locations with our experienced doctors: Dr. Norman J. Betts, Dr. Jeffrey L. Wasielewski, Dr. Richard P. Bartling, Dr. Matthew R. Cannavo, and Dr. Elise L. Ehland.

      TESTIMONIALS

      What Our Patients Really Think About Us

      The doctors and staff at this practice are second to none! As a dental specialist myself, I have a “behind the scenes” look at many practices and I would never send my family anywhere else.

      ANDREA T

      “Dr. Cannavo pulled an infected wisdom tooth for me the very next day after seeing me. He did an excellent job, and everything went very smoothly. 10/10 would let him remove another tooth from my head.”

      JOEY C

      I took my daughter in for a consultation with regards to a Class 3 malocclusion. Dr. Jeff treated us with empathy & professionalism. He provided two different treatment plans for my daughter and I to review.

      KIM M

      I’ve been a patient of Dr. Betts for many years and always he takes care of me with empathy and no pain and a sense of urgency I wouldn’t go to anybody else. You get treated like you were part of his family.

      STEPHANIE B

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