Get Dental Care Covered Through the Canadian Care Plan (CDCP)
Fill out the form below and our team will contact you to discuss your dental coverage options.
Contact information
First Name
*
Last Name
*
Date of birth
Phone
*
Email
*
Questions
Are you currently enrolled in the Canadian Dental Coverage Plan (CDCP)?
*
Yes
No
Not sure
Do you currently have private dental insurance?
Yes
No
What treatment are you interested in?
Select an option
When are you looking to get an appointment?
ASAP
Within 2 weeks
Within 1 month
Just gathering information
What is the best time to reach you?
Morning
Afternoon
Night
Consent
*
I agree to be contacted regarding my dental benefits and appointment options
Check My Eligibility