Appointment Request

Schedule a Dentist Appointment in Toronto, ON - H&M Dental & Associates - Dr. Ghotbi

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.


Office Hours: Monday
9:00AM- 7:00PM | Tuesday - Friday 9:00AM - 5:00PM  

Please do not use this form to cancel or change an existing appointment.
Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):
 
 

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.
H & M Dental and Associates
123 Edward Street #810 Toronto, Ontario Canada M5G 1E2
Phone: (416) 977-3974 Fax:(416) 977-3987 URL of Map
ACCESSIBILITY