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At Maxillo Tandem, we are here to collaborate with you and your patients. As a dentist, doctor, or surgeon, you can rest assured that your patient will receive treatments that equal, and exceed, your expectations. We are qualified to perform all types of surgical interventions from the simplest ones to the most complex.

PROFESSIONAL SPACE

Refer a patient

REFER A PATIENT

Dear partner, we are eager to collaborate with you. Rest assured that with the Maxillo Tandem team, your patient is in good hands. Once we have received the completed form below, we will be contacting your patient. To facilitate the process, we encourage you to upload their X-rays.

SECTION 1 PATIENT FILE

Purpose of consultation
upload an x-ray
Upload supported file (Max 15MB)
upload an additional x-ray
Upload supported file (Max 15MB)
upload an additional x-ray
Upload supported file (Max 15MB)
upload an additional x-ray
Upload supported file (Max 15MB)

Complete the patient's ondotogram

D
G
D
G

SECTION 2 CLINIC INFORMATION

** All information submitted will be secured and treated with confidentiality.

Thank you for putting your trust in Maxillo Tandem

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photos du centre chirurgical Félix Michaud @michaudfelix_photo  |  design architectural Appareil Architecture @appareilarchitecture

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