Peachland Dental

Referral Form

Thank you for choosing Peachland Dental Centre! 

We understand that your referral is a direct reflection on you and your Practice, so we make every effort to treat your patients with respect and the care they deserve. 

You may refer patients to our office by submitting our online Referral Form. The security and privacy of patient information is one of our primary concerns and we will do our best to ensure all measures are taken to enforce it. 

Alternatively, you may download our referral form for Dr. Don MacRae. Please fill it out and send it to our office via mail or email. You can download the form here. 

Patient Information:

Reason for Referral:

You may upload up to three documents required for the referral:

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Going Green

Peachland Dental Centre is committed to 'greening' our office.

Check Out Our Green Policies

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Treat yourself to a healthy smile with Peachland Dental Centre!