For referring dentists
Refer a patient to Gul Orthodontics
We welcome referrals and work closely with our dental colleagues across the GTA. Send the patient’s details below, or download our printable form.
How it works
Three simple steps
Send the details
Use the online form below or the printable PDF — whichever fits your workflow.
We book the patient
Our team contacts the patient or parent directly to arrange the consultation.
We keep you informed
You receive an update once the patient has been seen, with findings and the proposed plan.
Online referral
Send a referral
Complete the details below and we’ll follow up to coordinate the patient’s visit and keep you informed.
Please note: do not upload X-rays or clinical images through this form. Send imaging and clinical records via your practice’s secure method. This form is for referral details only.
What to include
- Your office and dentist details
- Patient name and parent/patient contact
- Reason for referral and any urgency
- Imaging & records via your secure channel — not this form
Questions?
Call (647) 366-7960 or email info@gulorthodontics.ca.
Steeple Hill Shopping Centre
205–650 Kingston Rd, Pickering, ON L1V 1A6