Request an Appointment

Request an Appointment
Please fill out this form and U of T Dentistry clinic staff will contact you as soon as possible to explain our new patient intake process.

Please note there may be a wait for your first appointment. This may be up to a few weeks for our general dentistry clinic and longer for our specialty clinics.
First Name
Last Name
Email
Phone Number
Format: (000) 000-0000.
The best time of day to reach me:
What kind of oral health care do you need? (Select all that apply)

Other
How did you hear about us?

Other
By filling out and submitting this form, you agree to be contacted by U of T Dentistry with information about our dental services.

All information provided in this form will be kept confidential in compliance with the Personal Health Information Protection Act (PHIPA), 2004
https://www.ontario.ca/laws/statute/04p03
Should be Empty: