Call: (416) 239-3773

Appointment Request

When you come to Orchard Dental Care, you’ll find a warm, welcoming office environment where you’re always greeted with a friendly smile. We treat every one of our patients as a unique individual and strive to understand your distinct personal needs. Working with Dr. Elizabeth Polanski and Dr. Martin Szczutkowski, you’ll find that we take a comprehensive approach to your dental care. We won’t recommend unnecessary treatments and instead focus on finding a plan that suits your personal goals, health requirements, and budget. 

The first step towards a beautiful, healthy smile is to schedule a dental appointment in Etobicoke. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Are you a current patient?

Which office location(s) would you prefer for your appointment?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.


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