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Embrace Life. Smile.
(250) 472-0404

Dentist Online Referral

Referral for 75 minute Complimentary New Patient Evaluation

A successful practice doesn’t just happen; it's the result of a strong commitment to excellence in our professional community and the relationships we build with our patients and colleagues. We appreciate the confidence you’ve placed in us to provide your patients with an exceptional orthodontic experience. Thank you!

*please ensure bold fields are completed
 
Adult Patient?
 
Phone Number:

Radiographs sent?

Is patient  cleared to begin Orthodontic Treatment?