Patient Referrals

Your patient's smile
will be treated with care.

Referring Clinic Form

Referring Office Info
Patient Info
Complete In Progress Good Fair Poor
Radiographic Info

Please forward dated panoramic image to at your earliest convenience.

Referring Office Email Copy

A copy of this referral will be sent to this email address.

Our Location

800-4010 Pasqua St.
Regina, SK S4S 7B9

Our Phone

(306) 525-3555

Our Email

Our Hours

Monday - Friday
8:00am to 4:00pm