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.

Business Hours

Mon & Fri 10am-5pm
Tues & Thurs 10am-7pm
Wed 10am-6pm
Sat 9am-2pm
Closed Sunday

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


Which office location(s) would you prefer for your appointment?


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.

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Office Locations

  • Hamilton
  • 1508 Upper James Street
  • #223
  • Hamilton, Ontario
  • L9B 1K3
  • Map & Directions
  • Call: (905) 526-4873
  • Mississauga
  • 3070 Duplicate Hurontario Street
  • Unit A
  • Mississauga, Ontario
  • L5B 1N7
  • Map & Directions
  • Call: (905) 566-0307