Note: When the form is complete, please email it to 


info@windermerepd.ca

Referring Dentists and Staff members

We do thank you for all your referrals & your support.


For the convenience of your patients, we offer “consultation and dental treatment under general anesthesia on the same day”; with a medical pre-op.


We can accommodate urgent cases for treatment under general anesthesia at your request.

The general anesthesia is performed by certified anesthesiologists at a certified Surgical Centre.


To fill out an electronic PDF referral form ​please click the rectangle.


We also accept referrals by email, fax or phone...


Email: info@windermerepd.ca
Phone: (780) 484-5667
Fax (780) 484-5681




To fill out an electronic PDF referral form ​please click the BLUE rectangle.

Please note, on mobile, it might be difficult to download and

fill.