Dentist Corner

The Best Referral Experience

At Midwest Oral Surgery, we strive to provide the highest quality care to your patients and the easiest referral experience for you. Below you will find all the information you’ll need to refer your patient to our practice. 

Oral Surgeon looking at dental imaging for patient

Helpful Forms & Information

Our online referral form can be completed on a desktop or mobile device and submitted directly to our office. For your convenience you may also attach x-rays. Click below to download a PDF copy. 

For your patients undergoing general anesthesia, visit our pre surgical instructions page. You may also click the button below to print a copy for them to take home. 

We are always working to improve our patient and referral experience. Have feedback for us?  Complete our survey to let us know how were doing! 

Just need to send an x-ray?

send it via email to


Accidents happen, Midwest can help!

We understand that having a patient in the chair who’s also in pain can be an overwhelming situation for everyone. 

With six locations we’re able to take on many emergency cases. Most can be readily managed at our office under IV sedation.


When contacting our practice please have the following information available:

A copy of the patient’s health history. We will be asking for any medical conditions such as cancer, diabetes, a history of bone density medications, or blood thinners. 

Has the patient had anything to eat or drink in the last 6 hours? In cases of severe pain, the patient may need to be sedated for treatment and an empty stomach is necessary.

Can someone drive them? In the event anesthesia is necessary the patient will need someone to drive them home from our office.

Midwest Oral Surgery now offers, EXPAREL, an opioid free option for recovery.


We have 6 locations in the 

greater St. Louis area ~

Chesterfield, South County, Festus

St. Peters, O’Fallon, Wentzville

For any inquiries please email

Great care! If I ever have to do this again I’d return. The doctor was calm and kind, explained everything to me before hand and answered all my questions. The support staff was just as sweet. The office was clean and has COVID precautions in place.

— Clarice V.