We're sorry but the English section is currently under construction.

For more information, please contact us at: 819 772-4222.

patientdentiste

Dentist Area

To refer a patient, you may either send or fax the referral form by mail or fill out our referral form online at our website. If, for a specific reason, you believe your patient should be seen quickly, check the emergency reason for a visitation.

  • Enter the patients first and last name.

  • Ext.

    Enter the patients phone number. (ex:819-555-5555)

  • / / Sélectionner une date.

    Enter the patients date of birth.

  • Enter the reason for referral.

  • Note all comments relating to the patient.

  • Note any significant medical or dental history.

  • What method will be used to schedule the appointment.

  • What method will be used to transmit the radiographs.

Clinique de parodontie de l’Outaouais

111 boul. St-Joseph
Gatineau (Quebec)
J8Y 3W7
Phone: 819 772-4222
Fax: 819 772-4222
Académie Canadienne de Parondontie
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