Online Referral

You may refer patients to our office by filling out our secure online Referral Form. After you complete the form, please make sure to press the Submit button at the bottom to automatically send your information to us. The privacy and security of patient data is one of our primary concerns and we take every precaution to protect it.

Please select the office location you are referring to for the corresponding referral form:

Guelph & Waterloo Oral Surgery

Kitchener Oral Surgery

Toronto Oral & Facial Surgery