Referrals

Referrals

Clarence Street Dental is happy to accept external referrals for our specialists! We now offer services for our Pediatric Dentist, Orthodontist, Oral Surgeons, Endodontist, Periodontist, and Denturist, as well as CBCT referrals. Please complete the appropriate form and fax it to 519-756-0745 or email it to clarencestreetdental@gmail.com. Thank you for your referral!

Pediatric Dentist – Dr. Monika Srivastava

Pediatric Referral Form

Orthodontist – Dr. Mark Pus

Orthodontic Referral Form

Oral Surgeons – Dr. Andy Wong & Dr. Ron Ho

Oral Surgery Referral Form

Endodontist – Dr. Diogo Guerreiro

Endodontic Referral Form

Periodontist – Dr. Jacob Swiderski

Periodontic Referral Form – COMING SOON!

Denturist – Mr. Carmelo Cino

Denture Referral Form

CBCT Referral

CBCT Referral Form