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Orthodontic Referrals

To refer a patient for orthodontic treatment, please fill out the referral form below or contact us directly for more information.

We are thankful for your referrals and we will refer the patient back to you for future dental needs. A follow-up letter will be sent with treatment details. Thank you for trusting us with the care of your patients. - The Saugeen Dental Team

(519) 364-4040

Patient Information

Dentist Information

Your email address will be used to send you a confirmation of receipt and/or consultation report.

Additional Information

*IMPORTANT: Any form submitted by email must be encrypted, to ensure it is secure. By submitting an unencrypted email form, you are consenting to an unsecured email. Alternatively, please call our office to refer a patient. 

New Patients Always Welcome

Looking for a dentist in Hanover? We're happily accepting new patients at our dental clinic! Contact us to get started today. 

Request Appointment

(519) 364-4040 Contact