Referral Forms

Please complete the referral form for the specific dentist or the generic form and email it to the site-specific email.

For University Hospital Dental Clinic, email universityhospitaldentalclinic@lhsc.on.ca

For Victoria Hospital Dental Clinic, email victoriahospitaldentalclinic@lhsc.on.ca

• Generic Referral Form
• Dr. Shimizu Referral Form
• Dr. Lovell Referral Form
• Dr. Lee Referral Form
• Dr. McCord Referral Form