Dental Emergency

Notes:

Please follow the following guidelines at all times:

1. If you have difficulty breathing or uncontrollable bleeding in your mouth, dial 9-1-1 as soon as possible or go to the nearest hospital.

2. After 8pm on weekdays, weekends or clinic closures, if your situation cannot wait until we return to work, contact the Montreal Dental Emergency Clinic at 514-593-9229 for immediate assistance.

How we use the data you send?

By completing this form and clicking on the send button, you consent to us using this data to contact you to arrange a dental appointment. For further information:


1. Your contact information

2. Best way to contact you

3. List of symptoms

A dental emergency can have many causes (accident, cavities, infection). To help us advise you, please check all that apply (use section 4 below to give more details or for any other symptom):

4. Comments

We will contact you as soon as possible after receiving your request.

Summary of the clinic's internet privacy policy for online appointments

The personal data collected from this form (surname, first name, telephone number and e-mail address) is used to:

  • contact you in response to your request for a dental appointment,
  • to link your request, if necessary, to your patient file in our computerized dental care system.

We respect your privacy and undertake not to use this information for any purposes other than those mentioned above. The data collected in this way will be kept on our computer system for one month before being deleted.

You may contact Annabelle Laurin at protection_rp(a)cliniquebfabre.com to request that your data be modified or deleted before this period expires.