Log In to eReferral – CDA Secure Send

Log In to eReferral – Brightsquid

Print Referral Form 

Print Referral Pad

Case Difficulty Assessment 

Treatment Options Guide 

Trauma Guidelines 

 To assist you in booking appointments for your patients as quickly as possible, the referring Dentist should send a comprehensive written report. The report should include:

1. Patient’s name and contact information (date of birth, address and phone numbers).

2. Referring dentist’s name and contact information.

3. Reason for referral.

4. Relevant history. Indicate any special factors, either dental or medical. Include any dental treatment history which may apply to the area of concern.

5. Current periapical radiographs (x-rays). These need to be taken before and after any treatment done by the referring dentist. Include any historical radiographs of the area which may help in diagnosis.

If requesting treatment to start on the first appointment, have your patient fill out our medical history
and personal information forms. These forms can be sent to our office by mail or via a secure email
server (eg. CDA Secure Send or Brightsquid). Our Endodontist will review the information and we will
contact your patient to schedule the appropriate type of appointment. Please be advised that a separate
examination appointment may still be necessary prior to booking treatment.