Secure referral on-line fillable form:

You may fill-out the form on this page, once you click Submit it will be sent to our referral email system.

 

Please ensure you fill out all required fields (*) and click submit once you're ready to send your referral.

Bayside Oral &
Maxillofacial Surgery

If you have any questions please never hesitate to contact us.  

Telephone : 613-969-0333

Fax : 613-969-1574
Email : mzechel@baysideoms.com

Referrals: referrals@baysideoms.com

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© 2017 by Marc Zechel, DDS, MD, FRCD(C)