Home
Meet Us
Orthodontics
Services
First Visit
Invisalign
Kids Dentistry
Services
First Visit
Oral Surgery
Services
Office Tour
Forms
Financial Policy
Blog
Contact
toggle navigation
905.427.3223
Appointment request
Please fill out the form below. Our office will contact you to confirm your appointment.
Patient's First Name
*
Patient's Last Name
*
Phone Number
*
Email
Preferred Date
*
Date Format: MM slash DD slash YYYY
Service
Orthodontic Service
Paediatric Service
Special Requests
Newsletter Signup
I consent to receive future communications from Smileline. I understand I can unsubscribe at any time.