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Refer a Patient to Our Medicine Hat Specialists

We accept referrals from GPs, family dentists, and specialists across Southern Alberta for both pediatric dental care and oral and maxillofacial surgery. Our secure online form takes less than five minutes to complete — we'll contact your patient promptly to schedule their appointment.

What we accept referrals for

Pediatric Dentistry

  • Routine and complex dental care, ages 6 months to 12 years

  • Nitrous oxide sedation

  • In-office general anesthesia

  • Dental emergencies

  • Care for children with special needs

Oral & maxillofacial surgery

  • Wisdom teeth removal (simple and surgical)

  • Dental implants

  • Orthognathic (jaw corrective) surgery

  • Facial trauma reconstruction

  • Bone grafting and pre-prosthetic surgery

  • Complex extractions

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Meet Our Specialists

The only dental practice in Medicine Hat with a fully equipped in-house general anesthetic suite — allowing our specialists to perform complex procedures safely, comfortably and without hospital referral.

Dr. James Lipon

BSc, DMD, FRCD(C) ·

Pediatric Dentist

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 Read Bio ➔ 

Dr. Abe Khaleghi

DMD, MD, FRCD(C) ·

Oral & Maxillofacial Surgeon

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 Read Bio ➔ 

Dr. Ali Arsalan

DMD, MSc, FRCD(C) ·

Pediatric Dentist

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 Read Bio ➔ 

Referral Form

Referring Doctor Information

Clinic Address

Clinic Address
Which specialty are you referring for?
Oral Surgery
Pediatric Dentistry

Patient Contact Information

Patient Birth date
Year
Month
Day

Patient Address

Patient Address

Insurance Information

Insurance Type
No Insurance
CDCP
ADSC
NIHB
Private Insurance
Other

Primary Insurance

Secondary Insurance

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