Refer a patient to us by downloading our Referral Form and sending to our office.
Download Referral Form PDF from the list below:
Directions for Forms:
- Fill out form using your computer
- Save completed form to your desktop
- Email as an attachment to preferred office
Alternatively, download PDF, print and fill out by hand, and mail or fax to preferred office.
Treating our patients as we would our own families.
Huntley Oral & Maxillofacial Surgery
Doctors Conlon, Bruksch, Ozment, Richard, VanOven and Fay
11650 S. Route 47
Huntley, IL 60142
Monday – Friday 8:00 am – 5:00 pm
Saturday 8:00 am – noon
Hours may vary occasionally due to hospital surgery and emergencies.