Edmonton Emergency Dental Care Referrals

We appreciate the confidence you've placed in us in recommending our practice to your friends and family. Fill out the form below to refer a patient to our Emergency Dental Clinics clinic in Edmonton.

Doctor's Name: *

Practice Name: *

Email Address:

Name of the Patient You are Referring: *

Patient's Phone Number: *

Patient's Email Address

Radiographs Sent? *

Yes

Message

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Have a dental emergency in Edmonton? We're here on weekends and after hours to help.

Dental emergencies always happen when you least expect them. Our friendly and experienced dental team is on call to assist you when you need us most.