Information for Dentists

Are you a dentist looking to refer your patients to a periodontist? Learn more about Dr. Basarab and his referral program.

Your Partner in Oral Health

At Lethbridge Periodontal Associates, Dr. Basarab and his team always put patients at the focus of oral health treatment plans. 

We want to work with dentists to review options for patients to help them maintain their oral health, and keep their smiles healthy and happy. 

Meet with Us

We encourage dentists to learn more about our periodontal services. To book a time to meet with us, please contact our office. Request Appointment

Refer a Patient

If you would like to refer a patient to Dr. Basarab, please complete the form below. 

Referring Doctor Contact Information

Dentist Name: *

Phone: *

Email Address: *

How would you like us to contact the patient? *

I have asked the patient to call LPA Dental directly. Please call the patient. Please email the patient. Other - Please provide other comments below.

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Patient Information

First Name: *

Last Name: *

Phone: *

Patient Insurance Information

Email Address

Reason for referral:

Please provide a current radiograph (within 2 years)

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