Drs. Eckler and Black Orthodontists

Appointment Request

Appointment Request

We offer free, complete and comprehensive exams which take 45 minutes to one hour. During this time we will determine if treatment is necessary and if so, the best appropriate time to begin. Our goal is to help you understand the treatment options and address any concerns or questions you may have. We do not routinely take x-rays as part of our consultation but rather we take them only if required to make a diagnosis. Consultations are FREE and no referral from your family dentist is required. Simply fill out the form below and we will get back to you promptly or call (905) 789-8888 .

Please use this form to request an appointment. A member of our team will contact you shortly.

Your Information:
  • Name:

  • Patient's Age:

  • Address:

  • Phone Numbers:

  • Email Address:

  • Name Of Your DDS:

Appointment Details:
  • What Would You Like to Do?

  • Are You Currently a Patient With Us?

  • Additional Information:

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