Periodontal Specialists Online Patient Referral Form
At Periodontal Specialists, we value our relationships with referring dental practices and are proud to partner with you in providing excellent oral healthcare to our community.
To achieve a high level of trust with our shared patients, we:
- Review cases thoroughly in advance
- Refer back to your office for restorations
- Collaborate with you on treatment plans
- Are available in an advisory role if requested
- Offer accommodating scheduling
- Provide timely assessments and imaging
We have a selection of tools and resources assembled here such as our referral form and links to articles you may find interesting. If you have any questions about our practice, please call us at Periodontal Specialists Phone Number 866-473-7464. Above all, we want to thank you for your referral of our office.
You may refer patients to our office by filling out our Referral Form. Please fax the completed form to 416-225-9889 and give the original copy to the patient to bring to their appointment. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.
You need Adobe Acrobat Reader to view our form. Please download the free Acrobat Reader from Adobe’s web site if it is not already installed on your system.