Please fill out this Clinician Referral Form for your patient to bring to their appointment.

Referral Form


Dr. Benavent sees patients by appointment only.  Please call 443-535-9600.

The appointment


What to send

If available, please provide copies of all recent dental radiographs, head & neck imaging, serology reports, and/or pathology reports.  These can also be mailed or sent in digital format directly to Dr. Benavent.


We look forward to caring for your patient, and we thank you for your trust.