Share The Smile Experience

Patient & Professional Referrals

The greatest compliment our practice can receive is the referral of your friends, family, or clinical patients. We guarantee a warm welcome and exceptional care.

Trusted Dental Excellence

Thank You for Believing in Us

When you introduce someone to Nelson Dental Practice, you are connecting them with a team committed to gentle, transparent, and high-quality oral healthcare in Manassas, VA.

Delta Dental Premier & PPOs

In-network coverage and seamless claims handling.

Same-Day Priority Booking

Referred emergencies receive immediate evaluation.

Anxiety-Free Atmosphere

Gentle techniques designed for patient comfort.

Questions or Records? (703) 361-2141

Email Us

Referral Portal

Select referral type below

Step 1: Your Information

Your Name *

Your Email *

Your Phone *

Step 2: Who Are You Referring?

Friend / Family Name *

Phone Number *

Friend Email (Optional)

Optional Message or Requested Care

Referring Clinic

Practice / Doctor Name *

Office Email *

Office Phone *

Patient Clinical Info

Patient Full Name *

Patient Phone *

Patient Email (Optional)

Treatment Directives / Clinical Notes

Our Patient Onboarding Commitment

Gentle Outreach

We call or email to welcome them and discuss appointment preferences.

Insurance Check

We verify insurance coverage beforehand to guarantee no surprise costs.

Follow-Up Thank You

We notify you once your referred patient has scheduled their appointment.