Patient Relations

Patient Relations
This form is designed to facilitate effective communication between patients and the Clinic Office. Whether one wishes to provide information, raise a concern, lodge a complaint, extend a compliment, make an inquiry, provide a suggestion, or communicate for any other purpose, please use this form to initiate contact. Your feedback and requests will be addressed promptly and appropriately.

For information about your dental care, please call the main patient line at 416-864-8000.
Contact Information
Name

First NameLast Name
Email Address
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Phone Number
Please enter a valid phone number.
Chart Number (Optional)
Category*

Appointment issueBilling issueComplaintComplimentConcernInquirySuggestionOther
Message*
The Faculty of Dentistry, University of Toronto complies with the Personal Health Information Protection Act (PHIPA), 2004 (https://www.ontario.ca/laws/statute/04p03).
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Contact Information