Call: (519) 748-9200

Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

Cancellation Policy

We respect everyone's time. For that reason, we have developed an office policy to inform our patients that appointments are reserved especially to meet you and your family's needs. Should you have to miss or cancel an appointment with less than 24 hours business day notice a minimum fee of $50.00 will apply. 

Hours of Operation:

Monday: 8:00am - 7:00pm
Tuesday: 8:00am - 7:00pm
Wednesday: 8:00am - 5:00pm
Thursday: 8:00am - 5:00pm
Friday: 8:00am - 1:00pm


*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.