Referral Form

Data submitted through this form is secure and protected.

Please email recent xrays to [email protected]

Referring Physician or Community Health Worker

    Patient Information

    Are there recent X-rays? If so please forward by email to [email protected]

    * Required fields


    Bloorkids Dental
    622 Bloor St. W.
    Toronto ON, M6G 1K7

    Get Directions

    Phone: 416-532-8760

    Email: [email protected]

    Text Messaging: 437-886-1701

    Hours of Operation

    Monday 9 AM – 4 PM

    Tuesday 9 AM – 4 PM

    Wednesday 9 AM – 4 PM

    Thursday 9 AM – 4 PM

    Friday 9 AM – 4 PM

    For weekend appointments call for availability

    Saturday 9am-2pm

    Sunday Closed

    Parking: Map showing nearby Green P parking
    TTC: Located in between Christie and Bathurst station