Children's Dental Office in Toronto - Request an Appointment

Request an Appointment

Use the form below to request an appointment at Werb Dentistry.

Patient Forms

New Patient Forms
Please download and complete all forms and bring them with you to your first appointment.

New Patient Form
Behaviour Management Techniques

Werb Dentistry
2797 Bathurst Street (At Glencairn Ave.)
Suite 201
Toronto, Ontario
M6B 4B9

Phone: 416 784-5437
Fax: 416 784-5926

Office Hours

Monday	9:00 - 5:00
Tuesday	8:00 - 5:00
Wednesday	9:30 - 4:30
Thursday	8:00 - 5:00
Friday	9:00 - 2:00
Sunday	9:00 - 1:00

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)
		Monday 9:00 - 5:00 Tuesday 8:00 - 5:00 Wednesday 9:30 - 4:30 Thursday 8:00 - 5:00 Friday 9:00 - 2:00 Sunday 9:00 - 1:00
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