DR. ROLF MAIJER INC
250-800-2552  |
4464 W. Saanich Road  Victoria, BC  V8Z 3E9

© 2018 by DR. ROLF MAIJER INC.

REFERRAL INFORMATION

A successful practice doesn’t just happen; it is the result of a strong commitment to excellence in the professional community and in the relationships we build with our patients and colleagues.

We appreciate the faith you place in us by referring patients. When we proceed with treatment, it is our policy to keep you updated on the patient’s progress with treatment.

To assist you in your referral process we are happy to provide the support materials that will work best for your practice. Please email us at office@drmaijer.com to request:

  • business cards

  • referral prescription pads

  • our practice brochures

  • patient education materials

Click here for a printer friendly copy of our practice brochure. 

REFERRAL FORMS

 

PHYSICIANS

MD Referral Form - Adults

MD Referral Form - Children

DENTIST FORMS​

DDS Referral Form