Online referral

REFERRING YOUR PATIENTS TO US IS QUICK AND EASY:

Simply fill out the secure form below and send it to us. You can attach any radiograph or photograph relative to that case.

We will contact your patient as soon as we receive the form, or, based on your directives, at any other time to schedule an appointment.

If you prefer, you just send us an email at info@mtlmf.com.


Patient

This address will be used to send you a confirmation of receipt



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