Appointment Request

Easily Schedule With Our Ottawa Dental Office Here 

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The first step towards a beautiful, healthy smile is to schedule a dental appointment. If you need a teeth cleaning, dental x-rays, or a dental exam, contact our office to schedule an appointment with one of our family dentists. If you have additional dental issues such as a missing tooth, crooked teeth, or a chipped tooth, you may schedule an appointment with one of our dental specialists.

Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Patient Form (Download/Print)

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

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