Online Covid-19 Questionnaire


Prior to your appointment, please take a minute to answer the 7 questions below.
Click the blue SUBMIT button when the answers have been answered.
Your answers will determine if there are any special considerations required for your dental appointment.
Thank you.




    12 Avenue Brock Nord

    Montréal-Ouest, QC H4X 2E9

    514-484-0521

    Call us today!

    Clinic Hours

    Mon to Thurs – 8:00 am to 5:00 pm
    Fri – 8:00 am to 4:00 pm

    Request Appointment