Periodontist - Eureka
2324 23rd St.
Eureka, CA 95501
United States
(707) 444-0488

Call Today (707) 444-0488

2324 23RD ST.
EUREKA, CA 95501
UNITED STATES

Federal law prohibits transfer of confidential medical information without a release signed by the patient or legal guardian. You can download a release form to have your dental records transferred to or from another dentist. Please print the form out and fill in the blanks. Then bring, mail or fax it to the office from which you want to the records to be transferred.

Records Release Form

Download a Referral Form (for dental office use).

We encourage you to contact us whenever you have an interest or concern about dental implants, gum disease, or crown lengthening in Eureka.

Contact us with the form below:

Karla Z. Roman, DMD

Dr. Román is an active member of the American Dental Association Academy of Periodontology, the California Dental Association, the California Society of Periodontists, and the Humboldt Del Norte Dental Society.

Read more about Karla Z. Roman, DMD

Questions or Comments?
We encourage you to contact us whenever you have an interest or concern about our services.