Choose a form
Which referral fits your case?
CBCT referral
Request a cone-beam scan with radiologist reporting. Use this when you need imaging and a read, with the patient continuing care in your office.
Open CBCT form
Surgery referral
Send a patient for extractions, implants, pathology, orthodontic exposure, periodontal work, or other surgical care. Use this when you want us to handle the surgical phase.
Open surgery form
Not sure which to use? Call us at (416) 499-7878 and we’ll route the case from there.