You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.
Click Here to Refer a Patient
All information will be sent securely and encrypted. Once the online referral is submitted, you will have the option of uploading any radiographs or images. You will also have the opportunity to print your online referral form for your own patient record. The first page, titled FOR THE DOCTOR is your carbon copy of the referral info. The second page, titled FOR THE PATIENT is a patient information sheet about our practice and the patient’s appointment. If an appointment is being scheduled concurrently over the telephone, be sure to write in the patient’s time and date of their appointment.
Should you prefer a “traditional” paper referral slip, one may be downloaded by clicking here
If you require assistance with any of these forms or uploading images, please call our office at (905) 764-3663 so that one of our team members can walk you through it.