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Referrals

To refer a patient to our office for an examination, please enter their name and nature of the referral into the contact us box below. You can also download and complete the attached referral form and return to us by e-mail for fax. 

Referral Form

Send completed referral forms by fax at (604) 532-1072 or email reception@langleyperio.com

We appreciate your referral and thank you for your support of our practice!


Langley Perio & Implants

6351 197 St #204
Langley, BC V2Y 1X8
Phone: (604) 532-1080

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.
Schedule an
appointment or
request a
virtual consult

6351 197 St, #204, Langley, BC V2Y 1X8
reception@langleyperio.com
Driving Directions

(604) 532-1080

Office Hours

Monday to Thursday:
8:00 AM-5:00 PM
Friday By Appointment Only

Let's Connect!