Victoria BC Orthodontist Peter Duncan

Suite 113 • 1595 McKenzie Ave. | Victoria BC | Canada V8N 1A4 | (250) 472-0404

Refer a Friend

A successful practice doesn't just happen. It is the result of a strong commitment to excellence in our treatment and in our relationships with patients and doctors. We'd like to take a moment to thank you for showing your confidence in our practice by recommending us to your friends, family, and colleagues. We're gratified to find how many new patients regularly call on us based on your words of advice.

Choose a form:

Doctor Referral Form

If you are a doctor who is referring a patient to us, please fill out and submit the following form.

Your Information:

  • Your Name:

  • Your Practice Name:

  • Email Address

Referral Information:

  • Name of Person You're Referring:

  • Were Radiographs Sent?

  • Additional Information:

  • For Security Purposes, Please Enter the Code Below:

stock photo of a teen girl on a phone

↑ Top / Home

The orthodontic practice of Dr. Peter Duncan provides comprehensive orthodontics for children, teens, adults, and families. Contact our practice to schedule an appointment.

Doctor Login
Site Map | Web Site Powered by Sesame 24-7™

 

orthosesame hit counter