Refer a Patient for Custom Prosthetic Solutions

Easy, professional referrals for medical-grade prosthetic care — including maxillofacial, ocular, and limb prostheses.

Submit a Referral

What We Offer

At Prosthetic Solutions, we provide life-enhancing prostheses tailored to our patients individual needs.

Learn More About Our Services

Maxillofacial Prosthetics

Restoring facial features due to trauma, illness, or congenital differences.

Ocular Prosthetics

Natural-looking artificial eyes tailored for comfort and realism.

Limb & Digit Prostheses

Custom fingers, toes and partial limbs using advanced materials.

Streamlined Processes for Timely Care

Email

Securely send referrals and supporting documents via email. Ideal for quick sharing via your practice system.

Online Referral Form

Use our secure online portal to refer a patient in minutes. Fast, confidential, and accessible anytime.

How to Refer a Patient

Refer your patient securely using our online form, downloadable PDF, or encrypted email. We offer flexible referral options to suit your workflow — simple, secure, and efficient every step of the way.

Downloadable PDF

Prefer pen and paper? Download our referral form to complete and return via email, fax, or post at your convenience.

Order Referral Pads

Need physical forms for your clinic? Order complimentary referral pads for easy access during consultations.

Need Help With a Referral?

We're here to support you. Our team is available to answer questions, guide the referral process, or provide additional resources.