Bookings

Book a consultation at our Oshawa Dental Office or Toronto Dental Office

To book your consultation with Dr. Sam Axelrod & Associates, 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 Office
Mon 9:15am-5pm
Tues 9am-5pm
Wed 1pm-7pm
Thurs 9am-5pm Admin
Fri 9am-1pm
Toronto Office
Mon 3:00pm-7:30pm
Wed 8:30am-3pm 
Thurs 10am-7:30pm
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