Credit River Dental Centre - Request an Appointment

Credit River Dental Centre
114 Lakeshore Road East
Unit 3
Port Credit Ontario
L5G 1E4

(905) 278-4297

Patient Forms

1. Dental Questionnaire
2. Medical History

Office Hours

First Name:	*
Last Name:	*
Email Address:	*
Phone Number:	*
*required field		New Patient Existing Patient


		Choose the days of the week that you are available: (use control-click to select multiple dates)
Best time for appointment:

Reason for appointment:
What is the best way to contact you to confirm your appointment?		Please email me Please call me