Contact Us

Patient Information

What days are you available?
MondayTuesdayWednesdayThursdayFriday

What time period do you prefer?
Morning (9AM - 12PM)Afternoon (12PM - 5PM)No Preference (9AM - 5PM)

Reason of your appointment?
Cleaning & Full EvaluationFull EvaluationConsultation (Evaluation & Treatment of Specific Problem)Emergency

Dental Insurance(s)
NoneWork Group InsuranceCanadian Dental Care Government Plan with Sunlife (CDCP)Student Insurance (ASEQ)Quebec Public Health Insurance (RAMQ) for Welfare Social Assistance (B.E.S.)Quebec Public Health Insurance (RAMQ) for children under 10 years old

How did you hear about us? *I am Patient of your clinicBy One of your PatientsBy a Healthcare ProfessionalMy Insurance CompanyInternetPassing byOther

(Optional) Please let us know of any details or concerns regarding your appointment request: