Professional Patient Referral

We appreciate the confidence you show in us by referring your patient to our practice for Paediatric Dental Care. Please use the below form to provide us with the Patient and Parent Information of whom you are referring.

If you need an Immediate Appointment, please call our office at 416-224-2300 and talk to our staff and we will try to accommodate your patient.

Please make sure your Patient’s Parent is aware of our Financial Policy and if they have the time to download and fill out the child’s Patient Information : Health and Dental History, form.