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Referral Form

It is an honour to be included on your healthcare team. Thank you for entrusting your patients to us.

You may refer patients by filling out and submitting this secure online Referral Form. The security and privacy of patient data is one of our primary concerns. We take every precaution to protect it.

It is an honour to be included in your healthcare team.
We invite you to:

Meet our Oral & Maxillofacial Surgeons Request a consultation: call (613) 778-8888