To register with us please:

1. Click to download the editable Registration/Medical History Form below and complete it electronically.
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2. Email it to toothshinedentalclinic@gmail.com letting us know if you require a routine or emergency appointment (please let us know if the issue is your upper/lower and left/right and back/middle/front tooth) as well as what dates and times are convenient for you.
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3. Once we receive your email and completed Registration/Medical History Form, we will register you on our system and either book your appointment if your requested dates/times are available or phone you to book your appointment if not.