905-607-1112
Referral Form
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905-607-1112
Referral Form
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Referral Form

Patient Information

Referring Office

Reason for Referral

Please check teeth/areas to be evaluated

Refer a Patient to Eglinton Oak Dental

Eglinton Oak Dental welcomes referrals from dentists and specialists across Mississauga and the surrounding area. We work closely with referring offices to provide your patients with comprehensive, patient-focused care — and we keep you informed at every step.

Our team offers a wide range of treatments, including dental implants, root canal therapy, oral surgery, and wisdom tooth removal. Simply complete the referral form above and our team will coordinate the next steps promptly.

Questions about a referral? Call us at 905-607-1112 and our team will be glad to help.