Become a Patient

BECOMING A PATIENT IS EASY!

Just fill out the Consent Form below to enroll yourself or your loved one, and we will contact you to schedule an appointment.

BECOMING A PATIENT IS EASY!

Just fill out the Consent Form below to enroll yourself or your loved one, and we will contact you to schedule an appointment.

New Patient Consent Form

Please download our form, print it, fill out the form, scan it, and then email it to: info@toothpicksdental.com

Download Form

Contact Us

Have a question?

Should you need to make any inquiries, our staff would be pleased to assist you. We invite you to contact us directly by calling, or by completing our Contact Us form.

Please call us at (705) 309-6424