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Cleft Palate & Craniofacial Referral

The Cleft Palate & Craniofacial Program includes specialists from across health care including nursing, pediatrics, oral and plastic surgery, orthodontics, genetics, otolaryngology, audiology, speech and language pathology, and social work.

Please note: A referral from a medical professional is needed to visit this clinic. 

Referrals form

Please use our fillable PDF referral form to refer patients to this program:

Referrals process

1Send referral information

  • Download and complete the fillable PDF referral form
  • Fax the referral form and all pertinent information to 604-875-2743.
  • The referral form can also be emailed to:

2Include tests and reports

  • Please include any previous relevant tests, reports or consultations with the referral submission. 
  • Please do not fax clinical photographs as they will not come through clearly on our fax machine.

3Wait for an appointment

  • Once the referral is received, the clinic will call the patient to book the appointment. 
  • All referrals are triaged. 
  • Please note, the current wait time for non-urgent appointments can be from weeks to months.
  • While awaiting an appointment, please refer to Cleft Palate & Craniofacial Program page for information and resources.

SOURCE: Cleft Palate & Craniofacial Referral ( )
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