Referring Doctors welcome!

We can help you restore your patient's oral health

Thank you for considering our practice for your patient's needs. We are committed to working closely along with you to provide the best care to your patients.

We will schedule your patients as promptly as possible and for emergency cases, will make every endeavour to see your patients the same day you call us. After treatment, we will also assist your patients to return to see you to complete the rest of the necessary treatments.

Feel free to contact us anytime if you have any questions.

You may refer patients to our office by any of the following methods:

1. Filling out our online referral form below
2. Contacting our office at (604) 859-0453
3. Emailing us at info@AbbotsfordSmiles.com
4. Printing the referral card and fax it to (604) 853-3777

Referrals

Doctor Information

Referring Doctor

First Name

Last Name

Office Email

Please enter your office email address.

Office Telephone number

(###)

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Patient Information

Patient Name

First Name

Last Name

Patient Phone number

(###)

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Patient Email Address

Reason for Referral

Please select the treatment your patient is interested in.

Treatment Objectives

Comments

Any additional comments you think might be helpful in treating your patient