To download a pdf referral pad,
Or submit an online referral with the form below.
ONLINE REFERRAL FORM
Ontario Health Insurance Plan (OHIP)
For written prescription purpose.
Dental Insurance Benefit Card
For our office to help you submit claim and/or treatment plan to your insurance company for your reimbursement.
Dr. John Gay | B.A.Sc., D.D.S, F.R.C.D.(C)
Dr. Alfred Chu | B.Sc., D.M.D.
4801 Keele Street, Unit 44
North York, ON M3J 3A4
416-663-4758 | F: 416-663-4760
info@dentalspecialtygroupnorthyork.ca
dentalspecialtygroup.ca
340 College Street, Suite 465
Toronto, ON M5T 3A9
416-924-9673 | F: 416-924-6299
info@dentalspecialtygrouptoronto.ca
dentalspecialtygroup.ca