Referrals

Thank you for trusting us with your patients. We will contact them promptly to arrange a consultation.

Referral forms

Download the form for the specialist you are referring to. Print and complete it, then email a scan to the office or fax it to (905) 763-8831.

  • Fax(905) 763-8831

Email the office manager

For questions, urgent cases or to send imaging, email the office. We reply quickly.

lilyorkdentalspecialists@gmail.com

Please include

  • Patient name, date of birth and phone number
  • Reason for referral and the specialist requested
  • Relevant radiographs or imaging
  • Your name, practice and contact details