Referral Forms
For referring dentists
Referring Patients to Ajax Wisdom Teeth
Use the referral slips below to refer patients to our offices. Click the button for the appropriate office location.
About Our Referral Process
We accept referrals from dentists and physicians for a full range of oral and maxillofacial surgery services.
You can:
- Download and print the referral slip above
- Fax completed referrals to (905) 619-0748
- Email referrals to sfenwickajax@rogers.com
- Call us at (905) 619-0464
We Accept Referrals For
- Wisdom tooth extraction
- Dental implant surgery
- Corrective jaw surgery
- Oral pathology and medicine
- Extractions and preprosthetic surgery
- Trauma management
- Anesthesia services
- And more