Request an Appointment

Fill out the form below and our team will confirm your appointment within one business day.

Personal Information

First Name *

Last Name *

Phone Number *

Email Address

Date of Birth

Are you a new patient? *

Appointment Preferences

Reason for Visit *

Preferred Time *

Preferred Date *

Alternate Date

Additional Notes

Anything else we should know?

SMS Notifications

Mobile Number for SMS

Enter a Canadian mobile number if you'd like to receive SMS reminders from our office.

I consent to receive SMS text messages from Ocean Dental Care at the mobile number provided above. Messages may include appointment reminders, confirmations, and office updates. Message and data rates may apply. Reply STOP at any time to opt out.

Signature

By signing below, you confirm the information above is accurate and authorise Ocean Dental Care to contact you regarding this appointment request.

Patient / Guardian Signature *

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Draw your signature above using your mouse or finger.

Date: October 21, 2026

I consent to Ocean Dental Care collecting and using my personal information for the purpose of scheduling and providing dental care, as described in the Privacy Policy. I understand I may withdraw consent at any time by contacting the office.

We'll confirm your appointment within one business day. For urgent matters, call 905-825-2344.

Contact Us Directly

905-825-2344

Mon – Fri: 9:00 AM – 6:00 PM

204-1131 Nottinghill Gate
Oakville, ON L6M 1K5

New Patient?

Save time at your first visit by completing your new patient intake form in advance.

New Patient Form