Refer a Friend

Refer a Friend

A successful practice doesn’t just happen; it is the result of a strong commitment to excellence in the professional community and in the relationships we build with our patients and colleagues. We appreciate the confidence you’ve placed in us to provide you with the complete care you need, and we thank you for recommending our practice to your friends and family.

If you are here to refer a friend to our practice, please provide us with the information below. Once you’ve completed the form, click on the SUBMIT button at the bottom of the page.

Referral Information:

Kindly fill out each field of this form below.

    *You have consent and verification from the patient to release information to Dr. Kenneth Shephard's office

    refer a friend

    COVID-19 Update

    In light of the concerns around the COVID-19 virus, we want to proactively provide details around our response.