Request Appointment Form

COVID-19 Screening Form And Request Appointment Form

To Our RiverEdge Family,

The re-opening of our essential services, at long last has occured. As of this past Monday June 8, our patient treatment and operating business hours have been restored to their full capacity. The health and safety of all of our employees, patients and their families, as always and will always remain our top concern and priority. As these exceptional circumstances evolve, we will continue to actively monitor, adapt and administer all our approaches, efforts and protocols accordingly.

We want to serve our community with the highest standards to consider your best interests and safety at all times.
We would like you to be entirely assured that we are fully within the scope of compliance with infection control procedures set by RCDSO ( Royal College of Dental Surgeons of Ontario ) and CDHO ( College of Dental Hygienists of Ontario ) and PHAC (Public Health Agency Of Canada ) .

Required precautions for our appointment procedures and other safety measures are currently in place to provide a safe and seamless dental appointment.

You will be required to fill out our COVID 19-Screening Questionnaire, prior to your appointment to provide acuity on your current medical health.
Please find this form located below:


For patient 65 years or older, are you experiencing any of the following symptoms: unexplained or increased number of falls, acute functional decline or worsening of chronic conditions.
lf response to all screening questions is checked non of the above, COVID screen negative.
lf response to any screen questions is questions is checked, COVID screen positive.

We realize it’s not always convenient to make appointments by phone. Sometimes it’s just easier to book online. Please note that this is not an actual appointment, but only a request for one. We will contact you back to confirm the closest requested available date and time. Thank you!