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Dentistry

Please note: A referral from a physician, a nurse practitioner or a dentist is needed to visit this clinic.

Referrals form

Referrals process


1
Choose and complete the correct form(s)

  • Please choose the correct form(s) from the list above.
  • Fax the completed form(s) to 604-875-2812.

2Email relevant images

  • Please email any relevant images
  • These images will assist our team in gaining a preliminary understanding of the patient's situation

3Wait for appointment

  • Please don't contact us for updates regarding the appointment scheduling.
  • We will contact the patient directly with any updates as soon as they are available. 

 
Referrals
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