Doctor Referral Form

Click a button below for the appropriate office to refer patients securely with our Online Referral Forms. For assistance, please call us:


Online Referral Form

After you have completed the form please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

Plymouth Office

Ann Arbor Office

Chelsea Office

Request An Appointment Today!

When you visit Trillium Oral Surgery and Implantology, we can serve you at our Plymouth, Ann Arbor, and Chelsea locations with our experienced doctors: Dr. Norman J. Betts, Dr. Jeffrey L. Wasielewski, Dr. Richard P. Bartling, and Dr. Matthew R. Cannavo.

TESTIMONIALS

What Our Patients Really Think About Us

The doctors and staff at this practice are second to none! As a dental specialist myself, I have a “behind the scenes” look at many practices and I would never send my family anywhere else.

ANDREA T

“Dr. Cannavo pulled an infected wisdom tooth for me the very next day after seeing me. He did an excellent job, and everything went very smoothly. 10/10 would let him remove another tooth from my head.”

JOEY C

I took my daughter in for a consultation with regards to a Class 3 malocclusion. Dr. Jeff treated us with empathy & professionalism. He provided two different treatment plans for my daughter and I to review.

KIM M

I’ve been a patient of Dr. Betts for many years and always he takes care of me with empathy and no pain and a sense of urgency I wouldn’t go to anybody else. You get treated like you were part of his family.

STEPHANIE B

Proud Members

aaoms-logo
ao-logo
SSC_Black-logo
mda-logo
ada-logo