Have questions or ready to book your first visit? Fill out the below form and we’ll get right back to you Contact Form Updates First NameLast NameWhich location are you closest to?– Select –PeterboroughOmemeeBuckhornCurve LakeKeeneCobourgDouro-DummerTrent UniversityOtherBirthdateEmail AddressPhone NumberAvailability Mon 7:30am-12:00pm Mon 1:30pm-4:00pm Tues 7:30am-12:00pm Tues 1:30pm-4:00pm Wed 7:30am-12:00pm Wed 1:30pm-4:00pm Thurs 7:30am-12:00pm Thurs 1:30pm-4:00pm Fri 7:30am-12:00pmDo you currently hold a card for insurance? Canadian Dental Care Plan Private Insurance OW ODSP Healthy Smiles Other NIHB NonePlease provide more details if you selected “other or noneDo you have family members on the same insurance? If yes, what are their names and date of birth?Are you in the process of applying for the Canadian Dental Care Plan? Yes NoCurrent dental needs / Questions for usSUBMIT
