To get started with your patient referral or report order, look up your contact information by your last name in the form below.

Please note that you can now book appointments at our Vaughan and Calgary locations at the same time that you make the referral

Referral destination

Mississauga (walk-in)

No appointments at this facility. After you make the referral, print out the result and give it to the patient to bring to us anytime

see other locations

Enter Referring Dentist's LAST NAME

Referring Dr. LAST NAME

Having trouble? You can fill in a blank online form OR Print a Paper Form