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For dentists

Refer a patient to Dr. Daher.

Fill in the form below and a member of our team will contact your patient to book their consultation.

Referring doctor

Doctor name

Office

Email address

Phone

Patient information

Patient first name

Patient last name

Patient date of birth

Parent or guardian names (if applicable)

Patient phone

Patient email

Reason for consultation or comments

Sending radiographs, photos or a referral letter? Mention them in the comments and our team will arrange a secure way to receive them. Please include only what we need to book the consultation.

Questions? Get in touch.

Our team is happy to talk through a case before you refer, or to help with anything after. Call the practice any time we’re open.

(604) 662-3290

840 W Hastings St
Vancouver, BC V6C 1C8
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