Referral Form

Referrals will be assessed quickly and patients will be contact as soon as possible for an appointment. Please complete the information below.

Online Referral Form

For Tongue/Lip Tie Referral

Please send any intraoral pictures via email to: belleville@familydentalcentre.com

BELLEVILLE OFFICE

Monday 8:00 AM – 8:00 PM
Tuesday – Thursday 7:00 AM – 8:00 PM
Friday 7:00 AM – 4:00 PM
Saturday 8:00 AM – 4:00 PM
Sunday Closed

FRANKFORD OFFICE

Monday 8:00 AM – 8:00 PM
Tuesday 7:00 AM – 8:00 PM
Wednesday 8:00 AM – 8:00 PM
Thursday 7:00 AM – 5:00 PM
Friday 8:00 AM – 4:00 PM
Weekends Closed

COBOURG OFFICE

Monday – Wednesday 8:00 AM – 8:00 PM
Thursday 8:00 AM – 5:00 PM
Friday 8:00 AM – 4:00 PM
Weekends Closed