Make a referral

Fax or email referral form

For dental and medical professionals to refer a patient, simply download and fill out our referral form, or complete the fillable form online, and send it to us by fax or email. Please complete all information on the form as much as possible – the more we know, the better service we can provide.

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We thank you for considering University OMF for your patients, and we know that providing the best service to our patients means working closely with their current medical professionals. To discuss a referral with one of our surgeons, call us at (902) 473-2070, or Contact Us.

Send patient X-Ray or photo

To send X-Ray or photos in support of a patient referral, use the button below and attach the files. Make sure the patient’s name and date of X-Ray are clearly indicated on the image.

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