Referrals

At Panorama Oral Surgery in Winnipeg, we greatly appreciate all referrals!

A Positive, Patient-Focused Experience

At Panorama Oral Surgery, our goal is to make sure each patient has a positive dental experience. We understand that for many patients, learning that they will need oral surgery can feel stressful and intimidating. We want to help put their minds at ease.

We provide a space where patients can feel comfortable and relaxed throughout the consultation, diagnosis, and treatment process.

Our specialists welcome and encourage questions and discussion, and always seek to ensure that our referral patients receive the compassionate, personalized treatment they deserve.

What to Expect

We are happy to collaborate with you and your dental team to ensure that your valued patient has an easy, smooth and convenient experience from start to finish. We offer:

• Dedicated staff
• A Convenient location
• Wide variety of oral surgery services
• A compassionate approach

Parking

Free 2 Hours Max Visitor Parking (East Lot): Reserve your spot by scanning the QR Code posted on the GrydPark sign or at the main entrance inside the building.

Hourly (2+ hours) Paid Visitor Parking (North-East Lot): Upon your arrival, pay and park in the casual parking zone and follow the instructions on the GrydPark sign outside or at the main entrance to complete your registration.

Refer a Patient

Refer a patient to our Winnipeg oral surgery practice by using one of the following forms:

If you have X-rays to send: Please download and fill out the PDF form and email it to our office, attaching the X-rays to the same email.  

Panorama Oral Surgery Referral PDF

If you do not have X-rays to send: Please fill out and submit the online* form below or contact us by Email Directly. ( Info@oralsurgerycentre.ca )

Doctors *

Dr. Blair Dalgliesh

Dr. Catherine Dale

Patient's Name *

Date Of Birth *

Address *

Home Telephone *

Email Address *

Cell *

Work *

Name Of Insurance Co. *

Name Of Policy Holder *

Group / Policy No. *

Contact / ID No. *

Consultation Regarding *

First and Last Name of Referring Doctor *

Spam Blocker

*IMPORTANT: Any form submitted by email must be encrypted, to ensure it is secure. By submitting an unencrypted email form, you are consenting to an unsecured email. Alternatively, please print off the form, complete it, and bring it to our office.