Referring Doctors


Referral Information

Thank you for your interest in our practice, Keivan Zoufan DDS, MDS. We appreciate and value the trust you have placed in us by referring your patients to our office. We make every effort to ensure that the time your patient spends with us will result in a positive experience, achieve the desired treatment goals, and reflect well on you and your office.


Online Referral Form

You may refer patients to our office by filling out our  Referral Form. You can submit the referral form by filling it out via the link provided and then either faxing or emailing it to our office.



We have set aside emergency appointments every day for your patients who are in pain and need to be seen on the same day. We will make every effort to appoint endodontic emergency cases within 24 hours. Please call us as early in the day as possible so that we can allocate that emergency appointment to your patient. Even if we cannot perform the complete root canal, we can usually see the patient for an emergency procedure to relieve them from pain. If you would like to institute pain management protocols prior to the patient’s appointment, such as long lasting local anesthetic, a pulpotomy, oral analgesic, or antibiotic therapy, we can help you decide which protocol will make your patient most comfortable until treatment can be provided.


Insurance Information

We have contracted with most PPO insurance carriers including Delta DentalCignaAssurantUnited Concordia, Aetna.

Once again, thank you for your confidence in Keivan Zoufan DDS, MDS