Provider Referral Form

A patient with special dental needs can be a person with mental, physical, or emotional conditions. There is a wide variety of patients that find dental care difficult, from a severe gag reflex to needle phobia, PTSD to depression, chronic pain to autoimmune, just to name a few. Our NYC dental practice is dedicated to providing care to patients with special needs. By utilizing modern dental technology and offering unique services, we are equipped to provide customized care for varying conditions.

For many mental health and healthcare professionals finding the right place for your patient or client to obtain dental care can be a challenge. Our entire team is here to help and support each patient’s individual needs. Every patient is met with compassion and empathy, and we will go above and beyond to provide a comfortable dental experience. Our practice is equipped with anesthetics and anxiety-reducing agents to help patients with dental care, and our team is committed to providing exceptional care in a safe, supportive environment.

For mental health providers, Many of our patients have some form of mental illness or condition, ranging from PTSD to abuse and assault survivors to anxiety and depression. Not only is our patients’ physical comfort important to us, but their emotional comfort as well. Please feel free to reach out to Dr. Siegelman personally if you have any questions. We can collaborate to help your patient with their dental care.

For dentists and healthcare professionals, We can provide dental care for patients with special healthcare needs; conditions such as autism, Asperger’s, sensory disorder, severe gag reflex, multiple sclerosis, difficulty getting numb, cerebral palsy, autoimmune, needle phobia, chronic pain, visually impaired or blind. Please feel free to connect with Dr. Siegelman if you have any questions. We can work together to help your patient get the dental they need.

Neglecting oral care can affect overall health and well-being, and we want to help your patient enjoy both the social and physical benefits of a healthy smile. Feel free to reach out and speak with Dr. Siegelman about the type of care we provide and how we can help your patient. Contact us by filling out the form below or give us a call at (212) 974-8737.

We encourage Therapists, Counselors, Social Workers, Community Support Groups, Dentists, Physicians, Nurses, Occupational Therapists to complete this form

Request a Consultation

A consultation appointment is what we recommend that your first visit be as a patient. Overall patient satisfaction depends on quality communication with the doctor. At Louis Siegelman, DDS, our patient’s satisfaction is our main focus. If there is anything we can do to make your experience easier or more comfortable, please let us know. Your suggestions are sincerely appreciated.

Quick Contact

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