Refer a pediatric patient to Dr. John Mansour in Waterdown. Fast turnaround, full reports back, and your patient returned to your care.
Both routes reach the same team at Waterdown Kids Dentistry. Use the printed form if your office prefers paper, or send the referral online.
Download the one page form, complete it by hand, and send it with your patient or email it to our team.
Download the PDF PDF, one page, ready to print.The same questions, filled in and submitted here. It reaches us straight away, with no printing and no faxing.
Refer online Takes about two minutes.Submit the online form, or send the completed printed form with your patient.
Email any relevant images to info@waterdownkidsdentistry.ca, or send them with your patient.
We contact the family to book, and you hear from us once your patient has been seen.
Dr. John Mansour is a pediatric dental specialist accepting referrals from general practitioners across Waterdown, Flamborough, Dundas, Burlington and greater Hamilton. We understand what a referral costs you. Our commitment is straightforward: we treat what you referred, we report back promptly and in full, and we return your patient to your practice for ongoing care. We are not looking to absorb your families.
The referral most general dentists struggle to place is the child who needs comprehensive treatment under general anaesthetic. Hospital operating time is scarce and waits are long. We perform general anaesthesia at Panacea Surgical Centre, a licensed surgical facility in our own building. If you have a child sitting on a hospital list in pain, send them to us and we will give you a realistic date.
under age three or four
Extensive decay requiring treatment under sedation or general anaesthesia, performed onsite, not waitlisted
Children with significant dental anxiety or previous negative experiences
Children with special healthcare needs or complex medical histories
Behaviour management challenges
Trauma and dental emergencies in young children
Pulp therapy and pediatric restorative work
Early orthodontic and space management concerns
Call or text (289) 799-3355, or send the referral by email or fax with any relevant radiographs and a brief note on what you would like assessed. You can download our referral form directly from our website, or request one by email. Urgent cases are seen quickly. If a child is in pain, call us directly rather than sending a form.
Confirmation once the patient has been seen
A written report with findings, treatment completed and radiographs
Clear recommendations for ongoing care in your practice
A direct line to Dr. Mansour for any case discussion
No. Unless a family specifically asks otherwise, we complete the referred treatment and return the patient to your care.
Call us directly and we will fit an urgent child in as soon as possible, we hold time each day for exactly this.
The same questions as the printed form. Required fields are marked, and everything else is optional.
We will confirm by phone or email within one business day, and you will hear from us again once your patient has been seen. Please email any radiographs to info@waterdownkidsdentistry.ca.
We are welcoming founding families ahead of our September 2026 opening in Waterdown.