Request an Appointment

New and returning patients are always welcome at our North York, Toronto dental office.

For your convenience you can request an appointment directly from the computer you are sitting at right now!

Simply complete and submit the form. A member of our team will contact you to confirm your appointment or find a suitable time that meets your requirements.

Please Note: Changes to scheduled appointments must be made over the phone and will not be accepted through this form.

Our dental specialists and friendly dental team members have extensive knowledge and the expertise to serve all of your family's oral health needs.


New Patient Intake Form
Personal Information Disclosure Form
Release of Dental Records Form
Botox Consent Form
Implant Consent Form
Dental Extraction Consent Form
Zoom Whitening Consent Form

Your Name*

Email Address*

Phone Number*

* Required Fields

Are you a new or returning patient?
New Patient
Returning Patient

Choose the day(s) of the week that you are available: (hold control/⌘ keys to select multiple)

Choose the time(s) of day that you are available: (hold control/⌘ keys to select multiple)

Reason for appointment:

What is the best way to contact you to confirm your appointment?
Please email me
Please call me