Convenient Patient Referral Unparalleled care and a personalized experience. Refer a Patient to Periodontic Associates of Port Huron We are always accepting new patients! Doctor's Name* Doctor's Phone*Doctor's Email* Patient Name* First Last Patient Phone*Patient Email Reason for Referral?Medical Concerns?Patient's Treatment Completed Date Completed MM slash DD slash YYYY Date of Last Radiographs? MM slash DD slash YYYY Type of Radiographs? Patient's Insurance Company? Tentative Treatment Plan?