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Appointment Form

Want to schedule a visit? Just fill out the following form and zap it to us. One of our receptionists will be in touch. Click here for our office hours.
Name:
Address:
City:
Prov:
Postal Code:
Call me at:
Phone:
Preferred appointment dates
(please provide at least one alternate date)

Preferred appointment time
(please provide at least one alternate time)

Nature of appointment
(eg. toothache, cleaning)
Email:

Remember: This is a only a request for an appointment. We will call you back to confirm your date and time.


Appointment policies:

• Your appointment is made exclusively for you. If you can't make it, please let us know as soon as possible —24 hours notice would be great—so we can let someone else have the time.

• Sometimes, because we won't rush through appointments, we may be running late. We will always strive to complete your appointment as scheduled, but if you are unable to stay, we will be happy to reschedule.

• If you are late, we may have to perform less work, or reschedule your appointment.

Payments and Insurance

We want to make your payment options as easy and painless as our dentistry. We prefer that your account be settled after each visit and we accept cash, VISA, MasterCard, cheques, and Interac.

Our computers are linked to many insurance companies, allowing us to provide assignment of fees. Some plans, however, to do not allow us to provide this service. Please ask one of our receptionists for details.

In many cases a payment program can be designed to assist you. And to make things really easy, now you can pay for your dental treatment with a few clicks of the mouse. We are registered with the following major banks - just click on the logos to go to their online banking sites and see how easy it is to do all your banking and bill paying from home.

And if you don't have an account with any of these institutions, you can still pay online through




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