For referring Doctors

Stateline Oral & Maxillofacial Surgery

 

To contact our office staff via email, please click below:

stateline_oms@msn.com

To contact Dr. Rottman via email, please click below:

keithrottman@msn.com

 

To download a copy of our referral form, please click on the file below:

stateline referral sheet

map to stateline office

 

To download a copy of one of our patient forms, please click below:

HIPAA consent

New patient information sheet

Financial Policy

Medical history form

Preoperative instructions for general anesthesia / deep sedation

Preoperative instructions for patients oral sedation

Map to the Office

 

For information regarding bisphosphonates and osteonecrosis of the jaw:

http://www.ada.org/prof/resources/topics/osteonecrosis.asp

For information regarding the use of antibiotics for prophylaxis in patients with total joint replacement:

"A legal perspective on antibiotic prophylaxis"

"Antibiotic prophylaxis for dental patients with total joint replacements"

http://www.ada.org/prof/resources/pubs/jada/reports.asp

For information regarding the use of antibiotics for prophylaxis in patients with heart disease:

http:www.ada.org/public/topics/antibiotics.asp

For information regarding the "Red Flags Policy" effective May 1, 2009:

ADA information about "Red Flags Policy"

 

 

Pre-op
Post-op
Wisdom tooth surgery
Implant surgery
Anesthesia
Consent Forms
Professional links
HIPAA