Bookings

Book a consultation

To book your consultation, please take a few moments to complete this form. Don't forget to include your e-mail address so that we can confirm your appointment.

Name:
Address:
City:
State/Province:
Country:
Appointment Location:
  New Patient         Current Patient
Phone (Daytime):
Alt. Phone
E-mail Address:
Office Hours:

Oshawa

Monday 1pm-5pm
Tuesday 9am-5pm
Wednesday 9:30am-7pm
Thursday 9am-5pm
Friday 9am-1pm

Toronto

Monday 6:30pm- 10pm
Thursday 10am-8pm
Sunday 11am-4pm
Desired Date & Time 1:
Desired Date & Time 2:
Desired Date & Time 3:
Reason for appt.:
Would you like to receive further information from Your Smile Dental Care? Yes            No