TMD Treatment

Sleep Apnea Therapy

& Cosmetic Dentistry

Referral to Drs. Juan & Dorothy Kassab


Please fill out the form to refer your patient, friend, or employee for TMD treatment, sleep apnea oral appliance therapy, or cosmetic dental work to Drs. Juan & Dorothy Kassab.


TMD & Sleep services are provided at 1810 Erie Blvd. Syracuse NY 13210 by Dr. Dorothy Kassab


Cosmetic Dentistry is provided at 118 S. Main St., Syracuse NY 13032 by Drs. Juan & Dorothy Kassab


Thank You so much for your trust in us.

Juan & Dorothy

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History of Present Illness or Condition


Patient's Information


Please upload the following documents if available that will be helpful or that you would like to send with this referral

  1. diagnostic letters from specialists pertinent to patient's condition
  2.  your chart notes pertinent to this referral     
  3. screenshot or .jpg file of any radiographs, MRI, tomograph (you can take pictures of images with devices and upload or scan and upload)
  4. any intraoral/extra oral photographs
Drag and drop files here or
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