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REFERRAL FORM

You may refer patients to our office by filling in the PDF Referral Form.

 

After completing the form,

please return the form by email to

smile@oralhealth4life.net or fax it to

416-221-6393.

 

If you have any questions about referring patients to our practice, please call us at 416-221-2950.

Prosthodontist Referral Form
Endodontist Referral Form 
Periodontist Referral Form
CBCT Referral Form