Connecticut Maxillofacial Surgeons, llc
 

Patient Referrals & Document Transfer

ReferralsFile UploadsFile Upload Form

You may now refer patients to our office by filling out our secure online Referral Form. Clicking on the form icon (left) will re-direct you to our SECURE online referral form.

After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. As part of the submission process, you also have the opportunity to upload any files (xrays, etc.) to us.

You may also use the form (third tab above) to separately and safely transmit documents (patient history, insurance forms, referral documents, etc. and/or large files (scans, photos, X-rays, etc.) to us.

The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

You may also use the form (next tab above) to safely transmit documents (patient history, insurance forms, referral documents, etc. and/or large files (scans, photos, X-rays, etc.) to us.

You may send up to five (5) files at a time by clicking on “Choose File”, but the maximum total upload size is 2Gb. If you have many files or a single really large file, you may want to consider ZIPPING them to group them together and/or reduce the overall file size to be under the 2Gb limit and reduce the transmit time.

The files are securely stored in a place only we may access. We are notified immediately upon a successful upload so we may review them. All files are automatically purged after 14 days.

We hope you find this easy and useful. If you have any questions or concerns, please let us know.

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Our Locations: Farmington  /   Simsbury  /   Wethersfied  /   Windsor  /   Torrington
 
Connecticut Maxillofacial Surgeons, llc
© 2017 - CTMAX