Schedule a Cleaning in Our Space Room

Family dentistry plays a vital role as the primary dental provider for patients of all ages, managing and maintaining your child’s overall oral health. Regular visits to the family dentist, typically every six months or more if necessary, are essential for dental well-being. Our local Brantford dental office offers a wide variety of general services, ensuring that all your family’s dental needs are met under one roof.

Looking to schedule a cleaning and check-up for your child in our space room? A member of our front desk team will reach out once we have received your request for an appointment.

Are you looking to book your child a cleaning with Steph in our space room? *

Are they a current or new patient? *

What is your child's name? *

First

Last

What is your child's date of birth (DD-MM-YYYY)? *

What is your name?

First

Last

What is your relationship to the patient?

What is the best phone number to reach you? *

What is the best email to reach you? *

What is your preferred method of contact? *

What is the best time of day to reach you? *

Please provide details that will help our team prepare for your child's appointment.

What is your preferred day of the week? (Select all that apply) *

What is your preferred time of day? (Select all that apply) *

Multiple Choice

First Choice
Second Choice
Third Choice