Referrals

Clarence Street Dental is happy to accept external referrals for our specialists.
We offer services with our Pediatric Dentist, Orthodontist, Oral Surgeons, Endodontist, Periodontist, and Denturist, as well as CBCT Scans.

If you are a patient and would like to refer yourself to Clarence Street Dental, please complete this form and either email it to clarencestreetdental@gmail.com or fax it to 519-756-0745. One of our patient coordinators will contact you to make the referral.

If you are referring a patient to Clarence Street Dental, please complete the form below for the required specialty and either email it to clarencestreetdental@gmail.com or fax it to 519-756-0745. One of our patient coordinators will contact your patient to make the referral.