Oral health screening appointment request form

Fields marked with a * are required.

Please use this form to request an appointment in our clinic.

Our goal is to contact you within 2 business days to provide you with an appointment date and time. You can also call us during normal business hours to make an appointment at 705.522.9200, ext. 236 (toll-free at 1.866.522.9200).

This item was last modified on June 12, 2015