Referral Form
Dear colleague,
I will no longer accept adult patients with government sponsored programs (ODSP, OW, NIHB), unless they were already treated by me before. Thank you for your cooperation.
Dr. Gabriel Lacombe
Village Walk Family Dental
Suite #100, 200 Villagewalk Boulevard
London, ON
N6G 0W8
Note: Please direct all inquiries to Lauren Charman BSc RRT, Anesthesia Treatment Coordinator – 519-930-3341
Fax: (519) 681-9176
Email: drlacombe@lsdental.ca
All fields are required.