Montreal
Imagerie dentaire
Dental imaging

Prescription

PRESCRIPTION FORM AND FEES »

If you are a professional and wish to refer a patient, please fill out the PDF form above and sent it:

By fax:	514 788-5411
By email:	info@imageriedentairemontreal.com

We will contact your patient immediately to schedule an apointment. Please then allow a delay of 3 to 5 business days for reports by electronic package and 7 to 10 business days for reports by conventional package.

The team at Montreal Dental Imaging

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