Referring Doctors
Thank you for trusting Loudoun Valley Oral Surgery with your patients. Use the form below to send a referral directly to our surgical team — including the treatment you would like evaluated, the teeth involved, and any imaging you have on file. We will contact your patient promptly to arrange their consultation and keep you informed at each stage of their care.
01
Prompt Scheduling
Our team reaches out to your patient to arrange their consultation, and we accommodate urgent cases wherever the schedule allows.
02
Care Close to Home
Your patients receive specialist surgical care in Purcellville, with on-site 3D CBCT imaging and all levels of sedation — no trip to a major metro.
03
You Stay Informed
We report back on findings and treatment, and return your patient to your care for their ongoing general dentistry.
Referral Form
Submit a Patient Referral
Fields marked with an asterisk are required. If you would rather fax a referral, our details are at the bottom of this page.
Referral received — thank you
Your referral has reached our surgical team. We will contact your patient to arrange their consultation and follow up with you on their treatment.
Other Ways to Refer
Prefer to Call or Fax?
Our team is happy to take referrals however it suits your office best. For time-sensitive cases, calling is always the fastest route to our surgical team.
Opening November 2026
Purcellville office
Our phone line opens with the office. Until then, please use the referral form above or fax your referral.
Fax a Referral
(540) 228-9114
Send your referral slip together with any radiographs.
Partnering With Local Dentists
Questions about a case before you refer?
Dr. Nguyen is glad to talk through a case with you directly — whether it is borderline, complex, or you simply want a second opinion on timing.