Print Referral Form

At Iowa Endodontics, P.C., we value our relationships with referring dental practices and are proud to partner with you in providing excellent oral healthcare to our community.

To achieve a high level of trust with our shared patients, we:

  • Review cases thoroughly in advance
  • Refer back to your office for restorations
  • Collaborate with you on treatment plans
  • Are available in an advisory role if requested
  • Offer accommodating scheduling
  • Provide timely assessments and imaging

We have a selection of tools and resources assembled here such as a referral form and links to articles you may find interesting. If you have any questions about our practice, please feel free to call us at Ankeny Office Phone Number 515-965-4456.

Above all, we want to thank you for your referral of our office.

Please below to download and print our Referral Form.


MyPBHS Collaborator Portal – Better Manage Patient Cases Online!

Please CLICK HERE to submit a new referral to our office or to access patient cases through Collaborator.

Click Here to Submit a New Referral

This website will allow you to refer patients to our office and to collaborate with us on case development. Due to stringent HIPAA requirements, you must have an individual user name and password for access.

Visit our helpful support pages or learn more about our secure MyPBHS Collaborator referral system.

If you have any questions, please don’t hesitate to call our office at Ankeny Office Phone Number 515-965-4456.