Become a Patient


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.
Consent Form
To enroll yourself or your loved one with Toothpicks dental and hygiene services, please fill out the consent form below. Once received, we will contact you to schedule an appointment and answer any questions you may have.
After our patient is seen, we will follow up with any power of attorneys to inform them of how the appointment went, what our findings were and discuss a treatment plan. You will be contacted before and after each appointment so that we are always communicating. Toothpicks visits many long-term care and retirement homes. To find out if our services are available at your residence of choice, please Contact Us to inquire.
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