APPOINTMENTS

If you do not have a file in one of our dental clinics and want to make an Appointment for the Toro Dental Clinics JEAN-TALON or 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 confirm your appointment as soon as possible. Thank you for choosing Les Cliniques Toro.

Appointment for the Toro Dental Clinics ( sending confidential )

Veuillez entrer votre prénom et nom
Veuillez entrer votre adresse avec code postale
Veuillez entrer votre téléphone avec l'indicatif

If your cell number is your primary phone, please, enter it here

Veuillez entrer votre téléphone avec l'indicatif
Veuillez entrer votre courriel
Please enter your weight in kg and pounds
Please enter your height in meters and feet

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:

Si applicable, vous pouvez faire une ou plusieurs choix

DENTAL HISTORY: