Please send xrays to email@example.com
If cancellation of appointment is necessary, 48 hours notice is required or a fee will be charged for the time reserved.
Please do not eat or drink for eight hours prior to appointment and arrange to have someone accompany you home.
Your information will be encrypted.
Your browser does not support capabilities required for electronic signatures.
Click a signature you want to use:
Copyright © 1999-2023 Hush Communications Canada Inc.