Oral Surgeon and Maxillofacial Surgery

Referring Physicians

Online Referral Form for The Kaplan Center

We welcome you to refer patients to our office by completing our Referral Form*.

*In order to view or print these forms you will need Adobe Acrobat Reader installed.

download referral form

After you have completed the form, you may choose to send the form to us from a variety of options:


Send with patient


Fax to our office at: (561) 420-0151, or


Scan and email to us at: Richard.kaplanmd@gmail.com

Rest assured that the well-being, security and privacy of your patient is one of our primary concerns.

Thank you for your referral. We look forward to being of service to your patient.

Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.

Questions? Ready to Schedule an Appointment?

All surgical services are available at both of our convenient locations.

Ask us anything from questions about the procedure to financing options, we are always happy to hear from you. Call us now at (561) 848-0553 or fill out the form.

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