Patient Referral
for DR. BARBARA HART

Hart Orthodontics

PATIENT REFERRAL FORM

DR. BARBARA HART DMD, MSc, Cert. Ortho.
ORTHODONTIST

263 Randall Street, Oakville, ON L6J 1P8
905-844-5311 • info@hartorthodontics.ca
www.hartorthodontics.ca

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We welcome all new patient inquiries – no referral required – and there's no obligation.

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