APPT Notre-Dame

If you do not have a folder in one of our clinics and want to make an appointment at the Clinique Toro Notre-Dame, please, fill the form below to provide us with some information to help us to open your file and save you time during your visit. If you already have a file with us, please complete only the top on making appointments. Please note that fields marked with “*” are required. Any cancellation of an appointment must be submitted no later than 48 hours prior to such appointment (thank you for your understanding). We will send you a receipt with confirmation of your appointment.

Appointments Dental Clinic Toro Notre-Dame (sending confidential)

INFORMATION ABOUT THE EMPLOYEE INVOLVED IN AN INSURANCE PLAN:

HELP US TO KNOW YOU BETTER:

MEDICAL HISTORY

HAVE YOU EVER SUFFERED OR ARE YOU SUFFERING FROM:

DENTAL HISTORY:

CAPTCHA
Please wait...