Care doesn’t break
in the exam room.
It breaks in the handoff.
Inside one practice, a case has an owner. The moment it crosses to another, nobody does. You’ve done your part. The receiving provider hasn’t started theirs. And the person in between is holding a phone number.
Two names and two phone numbers.
In 2025, Uri’s dentist referred him to an endodontist. The front desk handed him a yellow note with two names and two phone numbers, and he lost it before he ever called. Soon after, a friend’s son needed a procedure inside a three-week window, got the same note, and spent four days trading missed calls with the orthodontist over one thing: consent to send the boy’s records.
He started asking the dentists in his family, then their colleagues. The problem wasn’t any one practice: a referral crosses from one organization to another and nothing crosses with it. No shared record, no way to discuss the case, no status. So both sides pick up the phone. The same conversation with veterinarians ran almost word for word. One told him her practice’s front desk spends hours a week finding out whether referrals were booked and what happened next.
So we built the thing that should have been in his pocket: one referral both practices can open, with everything the second one needs already inside it.
Uri Tamir
Uri Tamir spent nine years at Mobileye, where he launched its first connected driver-assistance product, built the company’s first recurring software revenue from zero, and ran its Intelligent Mobility Services business in North America. Before that he co-founded a licensed investment firm, where he managed investments and owned compliance and operations.
A referral isn’t a message.It’s a case.
A message is something one side sends. A case is something two sides work.
A referral carries the person’s details and the reason they’re being sent. It carries the context the receiving provider expects: the tooth chart and per-tooth findings for a dentist, the species, breed, weight and coat color for a vet. It carries the files that go with the case, scans, lab results, anything the other practice needs to see. And it carries two practices who both have to act on it, and one person in the middle who didn’t choose to be there.
Email, fax and a sticky note aren’t wrong because they’re old. They’re wrong because none of them was built to carry a case. A sticky note carries a phone number. A fax carries a flat page. Email carries an attachment and no record of who opened it, which matters when every referral is a compliance event.
A case has to stay open after it’s sent. It needs a status both practices can see, a conversation that stays attached to it, and room for a file that didn’t exist on the day it went out. Everything else on this site follows from that distinction.
Why this hasn’t already been fixed
Every system in this workflow is built around a single organization, because that’s the organization that bought it. Inside that organization it works. Outside it, where the other practice runs different software and keeps its own records, it simply stops.
A national survey of 4,720 physicians asked both sides. 69% of referring doctors said they sent the patient’s history. 35% of specialists said they got it. The survey was 2008. The same questions on 2019 data, after eleven years of EHR adoption, produced the same gap.
The gap: 34 points
A large academic medical center checked 103,737 of its own outgoing referrals.
That was one organization, on one EMR, looking at referrals it sent itself. The researchers said the difference came down to whether both sides shared a records system.
Two things fall into that space. The first is the person being referred. They’re the only one who can actually complete a referral, and the only one with no software: no account, nothing to sign into, and no way for either practice to see what they’ve done. The second is everything that happens after the send. A question about the case, a scan that arrives late, a date that moves. Between two organizations there’s nowhere for any of that to live.
O’Malley & Reschovsky, Arch Intern Med 2011, on 2008 survey data (n = 4,720). Replication: Ann Fam Med 2022, on 2019 survey data. Patel et al., J Gen Intern Med 2018, FY2016 referral records (n = 103,737).
Built with dentists and vets, detail by detail.
We built Syncroly with practicing general dentists, veterinarians and specialists, and with the front-desk staff and coordinators who handle the referrals day to day. We kept going back to them as it took shape.
That’s why there’s a front-desk/coordinator role, because in most practices the person handling referrals isn’t the clinician.
That’s why a practice can hold several providers with different specialties instead of one profile per office.
And that’s why the scans and the back-and-forth about a case stay attached to the case, instead of scattered across inboxes.
How we handle referral data
We built to the standard HIPAA demands, then applied those protections to every referral on the platform rather than only the ones the law covers. A veterinary referral gets the same encryption, the same consent gate and the same audit trail as a dental one.
Nothing about a referral is disclosed until consent is on record, with who granted it and when. Notes, messages and files are encrypted at rest, and nothing sensitive travels in the emails or texts we send. One practice cannot read another’s referrals. Every action is logged with the actor and the timestamp, and those logs are kept for six years. All data stays in the United States.
We don’t claim certifications we haven’t earned or controls we haven’t built. The security page says exactly what we do, in full.
See a referral that both practices can work.
Free to start, for sending and receiving. Send one and watch it move from sent to booked.