Appointment Request an appointment. If you are a existing/returning patient, click here to fill a form for an appointment. For emergencies please contact us by phone at 819-669-4666. Si vous êtes un être humain et que vous voyez ce champ, merci de le laisser vide. Fields marked with * are mandatory First Name * Last Name * Date of Birth * Street Address * City * Postal Code Province ONQC Home Phone * Work Phone Cell Phone Email Address Preferred method of communication homeworkcellemail How did you hear about us? * Friend Yellow Pages Internet Passing by Other If a referral, please enter the email of the person so we may thank him/her. Preferred Dentist Dr. Côté Dr. Michel Bossé Main Reason for appointment * Consultation Exam Preventive follow up Filling Tooth Replacement Cosmetic Other Preferred time for appointment * MorningAfternoonEveningAnytime Additional information about your appointment
