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Orthodontic reference

Dr. Ali Karkri, D.M.D., M. Sc.

For your convenience, you can now send us your orthodontic referrals directly online by simply completing the attached form.

You can also use the paper reference pad we've sent you or, if you prefer, make a request by calling us at 450 912-9185 or e-mail us at info@orthodrkarkri.com

For more information on our products and services, please do not hesitate to contact our team.

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Patient Name
Name of the responsible person
Reason for the consultation
X-Ray
Click or drag files to this area to upload. You can upload up to 3 files.
Referring dentist
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