Refer a patient to Comfy Denture & Hearing Clinic
We welcome referrals from physicians, dentists, and other healthcare providers. Download and complete the appropriate form below, then fax or email it to your nearest location.
Working together for better patient outcomes
Our team of specialists — including Dr. Min S. Kim (Maxillofacial Prosthetist/Denturist) and Jieun Kim HIS (Hearing Instrument Specialist) — partners with referring providers to deliver seamless, coordinated care. We'll keep you informed at every stage of your patient's treatment.
Download referral forms
General denture referral
For patients requiring complete dentures, partial dentures, immediate dentures, or denture repairs and relines.
Contact us if you need this form emailed directly.
Implant denture referral
For patients who have received or are planning dental implants and require implant-supported dentures.
Contact us if you need this form emailed directly.
Maxillofacial prosthetics referral
For patients requiring obturators, palatal lift prostheses, ocular, orbital, auricular, or nasal prosthetics, or custom radiotherapy masks.
Contact us if you need this form emailed directly.
Hearing aid referral
For patients requiring hearing aid assessment, fitting, or L&I hearing aid claims. Jieun Kim HIS is an approved Washington State L&I provider.
Contact us if you need this form emailed directly.
How to submit a referral
Download the form
Select the appropriate referral form above and download the PDF.
Complete patient details
Fill in the patient's name, date of birth, contact information, diagnosis, and any relevant clinical notes.
Send to your nearest location
Fax or email the completed form to the Comfy Clinic location most convenient for your patient. Contact details are listed below.
We'll contact the patient
Our team will reach out to the patient within one business day to schedule their appointment and confirm insurance or payment details.
Send referrals to your nearest location
Questions about a referral?
Call our toll-free number or use our contact form and our team will be happy to assist.