Refer a Patient

Thank you for your confidence in referring patients to myORTHODONTIST. We look forward to collaborating with you - and taking exceptional care of them. Please complete the form below or call our office to get started.

All Referrals Welcome

We know you have a choice when referring your patient to an orthodontist. We thank you for considering myORTHODONTIST.

Whether your patient is a child for who can benefit from early intervention, a teen who needs braces or Invisalign or an adult who may having airway issues or simply wants a straighter smile, our team is committed to continuing the quality of care you've started.

We want you to know that we take the matter of your trust as our responsibility.

Educational Support for Dental & Health Professionals

In addition to providing orthodontic services for patients, we are committed to working with and supporting dental and health professionals to increase their understanding of the impact that early intervention can have on the lives and health of growing children.

Dr. Dhol is available to lead educational presentations about what to look for in young patients and what can be done with Phase 1 Treatment to reduce or prevent the need for invasive orthodontic treatment later in life.

If you are interested, please contact us and we will be in touch.

• With our 2-Phase Approach, we work to support the direction of the Canadian Association of Orthodontists which recommends that every child visit an orthodontist before age 7 for an initial assessment.
  Dr. Walinder Dhol, Orthodontist

Follow Our Educational Blog

We invite you to check in regularly to read the latest in our educational posts for professionals. 

Refer by Phone

Click on a link below to reach the myORTHODONTIST nearest you.

Referral by Email

Please provide us with as much information as possible. We'll be in touch with your patient or parent/guardian to followup. Thank you!

Referring Practice Information

Doctor Name (First and Last) *

Practice Name *

Email *

Referral Information

Patient First Name *

Patient Last Name *

Is the patient a child? *

Yes No

Parent or Guardian Name (If relevant)

Relationship to Child (If relevant)

Parent Grandparent Guardian Other, please provide details in Comments below

Patient or Guardian Phone Number *

Patient or Guardian Email Address

Which of our locations would you like to refer your client to? *

Downtown Vancouver West Vancouver Maple Ridge Langley Surrey Coquitlam McKenzie Towne North Calgary Not sure

Comments

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