Patient Referral Form

Thank you the confidence you have expressed in us by visiting our website.We constantly strive to establish and maintain good rapport with you, our referring doctors, by providing the best possible care for your patients.If we can be of assistance to you or you wish to refer a patient to us for care, please call our office.


Cullman Office
256-734-4655 or 205-838-3060


Thank you for the support you have shown by the courtesy of your referral.


Hugh P. Brindley, D.M.D.