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Doctor Referral to

Safari Children's Dentistry

Please read: Important information regarding referrals: 

  • ALL Patients MUST be seen for a Consultation prior to any treatment taking place (No same day treatment) and a Consultation Fee is charged for each consultation appointment.

  • Safari Children's Dentistry does not accept Healthy Smiles Ontario

  • While we do directly bill insurance for in office appointments, if patients need General Anesthetic appointments, fees are collected at the time of the appointment and claims are sent to reimburse the plan subscriber(s).

  • Consultations are seen between the hours of 8:00 a.m. and 3:00 p.m.  If patients want between 3:00 p.m. and 5:00 p.m., we will happily put them on our cancellation list  for any same day openings.

  • We only do treatment in office with/without nitrous and under General Anesthetic (no oral sedation)

  • We do not restore permanent anterior teeth as we do not have the composite shades to match and we refer out to a GP for these procedures.

Please make sure the patient's parents are aware of this information when the referral is sent.

Patient's Date of Birth
Month
Day
Year
Which location are you referring the patient to?
Burlington
Milton
Stoney Creek
Do you require a letter once treatment is complete?
Yes, please send to the address above
No
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