Please note that as of May 1st 2022, we are a fully private clinic and are non-participant in the RAMQ (Medicare) Program. As such, we do not accept Medicare (RAMQ) for children and adults. The fees would not be eligible to be claimed to the RAMQ
You are welcome to download, fill and send us the form below.
A dental intake form is a document that dentists use to collect information from new patients, such as contact details, medical and dental history, medications, and consent for treatment
You can always bring it filled on your first visit.
For more questions and information, please contact us!

