COVID-19 Emergency Consent form

Please click on PDF below to download Dental Treatment Consent  form.  If you can please fill out and email back to or bring to your appointment. 



Contact Us:

PO Box 190

1470 Erie Road

Harrow ON, N0R1G0

Tel: 519-738-6722

Fax: 519-738-2269

  • Wix Facebook page
  • Twitter Classic

Our Hours:

Monday and Tuesday 8AM - 10PM

Wednesday thru Saturday 8AM - 4:30PM

Subject to change

Find us