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Refer a Patient

Thank you for your confidence in referring patients to My ORTHODONTIST. We look forward to collaborating with you - and taking exceptional care of them. Please complete the form below or call our office to get started.

All Referrals Welcome

We know you have a choice when referring your patient to an orthodontist. We thank you for considering My ORTHODONTIST.

Whether your patient is a child for who can benefit from early intervention, a teen who needs braces or Invisalign or an adult who may having airway issues or simply wants a straighter smile, our team is committed to continuing the quality of care you've started.

We want you to know that we take the matter of your trust as our responsibility.

Refer by Phone

Click on a link below to reach the My ORTHODONTIST nearest you.

My ORTHODONTIST LOCATIONS
Surrey (604) 589-2212
Langley (604) 533-6696
Coquitlam (604) 949-0654
Maple Ridge (604) 463-1125

Referral by Email

Please provide us with as much information as possible. We'll be in touch with your patient or parent/guardian to followup. Thank you!

Referring Practice Information

Referral Information

New Patients Welcome

We welcome all new patient inquiries – no referral required – and there's no obligation.

Our BC Locations