Secure, Online Referral Form
Case Referrals
You may refer patients to our office by filling out our secure online Referral form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.
For assistance, please call us in Strathroy at Strathroy Endodontics Phone Number 519 245 7070.
Online Referral Forms
Endodontic Patient Referral Form
Refer a patient for endodontic treatment.
Endodontic Referral Form
CBCT Referral Form
Refer a patient for a CBCT scan.
CBCT Referral Form
Radiology Report
Upload a scan to order a radiology report.
Radiology Report
Referring Doctors Portal
Access the online system for referring doctors.
Referring Doctor Portal Login