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 Submit button 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.
Our online form uses Adobe Acrobat Reader 9 or greater plug-in to conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at least version 9 of the plug-in to successfully use our online form.
You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please download the free plug-in from Adobe's web site.
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Dr. Freilich practices at Freilich & Associates Oral & Maxillofacial Surgeons in Toronto ON
Providing Dental Implants, Pediatric Oral Surgery, Bone Grafting, Wisdom Tooth Extractions & Periodontal Services
Free Parking • Walking Distance from Subway • Wheelchair Accessible • Saturday Appointments
Address: 935 Sheppard Avenue West • Toronto, ON M3H 2T7 • Telephone: 416-789-5335 • Fax: 416-638-9239