Please have your health care provider fill out this form and return it to us either by email or fax. If you have any questions about orofacial pain in Reno, Nevada, please contact Northern Nevada Center for Orofacial Pain at 775-583-7755 and we will gladly assist you and get you set up with an appointment with our orofacial pain practitioner, Dr. Kim.

Any referrals sent via email can be sent to us at