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| Referring DoctorsNew Patient Referral FormPlease print and fill out the following referral form. Please, provide a copy of the form to the patient. Please, also fax, email, or mail the form to our office. Fax #: (513) 234-0708 Email: office@martinperio.com Mailing Address: Martin Periodontics 6410 Thornberry Court Suite C Mason, OH 45040 | 
| Four Locations to Serve You   MASON 6410 Thornberry Court Suite C Mason, OH 45040  (513) 445-4282 office@martinperio.com follow us on facebook   MIDDLETOWN 132 North Breiel Blvd Middletown, OH 45042  513-424-4978 office@martinperio.com follow us on facebook   FAIRFIELD 1211 Nilles Road Fairfield, OH 45014  513-829-8999 office@martinperio.com follow us on facebook   OXFORD 5279 Morning Sun Rd Oxford, OH 45056  513-523-5064 office@martinperio.com follow us on facebook |