Are you a dentist? Submit a Referral
Are you a patient? Request an Appointment
Do you work in dentistry and share our passion? Volunteer Today

Tom Harle, BSc, DDS, D(Pros), MSc, FICD(C) - Prosthodontic Dental CareTom Harle, BSc, DDS, D(Pros), MSc, FICD(C) - Prosthodontic Dental Care

Submit a Referral

Referring dentist's information










Patient's information




      





Referral information



(Please provide specialist with appropriate deatils of problem, i.e. urgency and areas of concern, using F.D.I. tooth numbering system.)


(Indicate any special factors—either dental or medical—such as known allergies and specific medical problems relevant to diagnosis andd treatment.)


Additional information





captcha  →  

"Thanks for helping me with the consultation with my patient. She is very content now. I really appreciate your time and expertise."

"Thank you for giving me a nicer smile on my wedding day."

"Thank you soooo much for all your patience and thoughtfulness over the last 6 months. I love my new teeth!"

"Your encouragement has been much appreciated."

"I am so happy with my great results."

"Just a little note to express my gratefulness to you and the Lord for the kindness you expressed towards my daughter this summer. I am deeply thankful for your willingness to see and treat her and for the quick referral. You have always treated me and my family with exceptional generosity and thoughtfulness over the years. Not all doctors are so generous. Joy to you."

"I have been saving your letter since received. It has been so uplifting & sincere, you overwhelm me. Thank you for all your wonderful care. You have helped me to smile again."