We are currently accepting new clients in the Niagara Region.
Whether you or your loved one are living at home or in a care facility, we would love to help you maintain your oral health!
Please click one of the links below to either complete our New Client Registration Forms ONLINE or download a PDF version for print.
Printed forms can be returned via email to firstname.lastname@example.org or faxed to 1-289-622-8351.
Forms are also available at our partnering retirement and long-term care homes, including Eventide, Foyer Richelieu, The Loyalist and Anchor Pointe.