Request an Appointment

New patients are always welcome at Alliston Village Dental!

Thank you for choosing Alliston Village Dental!

If you are experiencing a dental emergency during our office hours, please call us right away at (705) 434-1811.

We always love to see new patients in our office and to get to know you, both as a person and as a patient.

Please fill in the form on this page to request an appointment and a member of our team will contact you to confirm your appointment or find a suitable time that meets your needs.

NOTE: Changes to scheduled appointment will ONLY be taken over the phone and not through this form.

OFFICE HOURS

Name * * Required Fields
Email Address:*
Phone Number:*

Are you a new or returning patient?

New Patient
Returning Patient

Reason for appointment:

Choose the days of the week that you are available:

Monday
Tuesday
Wednesday
Thursday
Friday
Choose a preferred time:

9:00 am-10:00 am
10:00 am-11:00 am
11:00 am-12:00 pm
12:00 pm-1:00 pm
1:00 pm-2:00 pm
2:00 pm-3:00 pm
3:00 pm-4:00 pm
4:00 pm-5:00 pm
5:00 pm-6:00 pm
6:00 pm-7:00 pm
7:00 pm-8:00 pm

What is the best way to contact you to confirm your appointment?

Please email me
Please call me
When is the best time to contact you?


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