Physician Referral Info

Thank you for your interest.  A Medical Prescription is required to Provide Oral Appliance Therapy to manage Sleep Apnea. Signing the referral slip will satisfy this criteria.

 

Please call our office or submit the form below. An Information package including referral forms will be sent to you. If special materials are needed please indicate in Message section.

Phone: 905 607 3777            Fax: 905 607 0008

For Immediate Referral Form Download Click Here

Physician's Name *
Physician's Name