Concord Oral Surgery Online Patient Referral Form

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

Online Referral Form

To achieve a high level of trust with our shared patients, we:

  • Review cases thoroughly in advance
  • Refer back to your office for restorations
  • Collaborate with you on treatment plans
  • Are available in an advisory role if requested
  • Offer accommodating scheduling
  • Provide timely assessments and imaging
Above all, we want to thank you for your referral of our office. If you have any questions or need to speak with our team, please give us a call at Concord Oral Surgery Phone Number 905-669-2616.

Office Hours

Monday:   7:30 AM−4:30 PM
Tuesday:   Closed
Wednesday:   7:30 AM−4:30 PM
Thursday:   7:30 AM−4:30 PM
Friday:   7:30 AM−4:30 PM
Saturday:   Closed
Sunday:   Closed

We would like to thank you in advance for all your referrals. It really means a lot to us.