Refer a Patient

A successful practice doesn't just happen; it is the result of a commitment to customer service and in the relationships we build with our patients and colleagues. We appreciate the confidence you've placed in us to provide you with the complete care you need, and we thank you for recommending our practice to your friends and family.

If you are here to refer a patient to our practice, please provide us with the information below. Once you've completed the form, click on the SUBMIT button at the bottom of the page.

Practice Information

Patient Information

Emergency Dental Care Icon

Open seven days a week, and no appointment is necessary! West Edmonton Location. 

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Emergency Dental Care Icon

The first step toward achieving a beautiful, healthy smile is to schedule an appointment

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Emergency Dental Care Icon

An excellent orthodontic treatment to give you beautiful straight teeth - without braces.

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