Centre Dentaire de Haute Technologie du Québec

Appointment form

To request a dental appointment, call 514-524-6848 or follow this procedure:


Select the type of consultation you need

  1. Choose the day and month
  2. Choose your preferred time
  3. Add a comment or a question if you like
  4. Complete your personnal information
  5. Indicate how you wish to receive confirmation of your appointment
  6. Click the "Send appointment request" button

We will call or e-mail you within 24 hours to confirm your appointment or offer you another date and time.


Request a dental appointment

Appointment month:     Day:

Preferred time of day for appointment: 

Comments, questions?

Personnal information:

First name:

Last name:

Telephone:

E-mail:

Please confirm my appointment by:

email home phone work phone