Let's Connect! FollowFollow Call Us Today (541) 636-4344 Request An Appointment Home Meet Us Meet Dr. Lentfer Meet Our Team Green Dentistry Community Support Pediatric Dentistry Pediatric Dentist Your First Visit Healthy Habits FAQ’s Our Services Special Care Emergency Care Post Op Care Tongue Tie Overview Assessment Forms Infant Frenectomy Assessment Form Child Frenectomy Assessment Form FAQs Patient Reviews Day of Treatment Post Op Care Support Team Referrals Patient Resources Registration Reviews Insurance & Financing Kid Zone Blog Contact Us Get in Touch Request An Appointment Referring Doctors Jordan Lentfer, DMD 2921 Cresent Ave, S130 – Eugene, OR 97408Phone: 541-636-4344 Fax: 541-636-4229Email: Office@oregonkidspediatricdentistry.comWebsite: oregonkidspediatricdentistry.com Introducing: Patients Date of Birth: Name of Parent or Guardian: Contact Phone Number:Communication Preference: Please contact patient The patient will contact your office This patient is being referred for the following reasons: treatment with nitrous oxide or sedation dental anxiety young age and dental needs full mouth dental rehabilitation with general anesthesia or other sedation Other If Other, please provide more details below:We are referring this patient for: continuing care please refer back to my practice when treatment is complete Referring Doctor: Attach Files- x-rays or chart notes for patient Drop files here or Select files Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 100 MB. CAPTCHA Make Referral Δ Thank you for your referral! We appreciate your trust!