Hillside Dental Centre - Financing Application Form

Our goal at Hillside Dental Centre is to help patients improve their overall health. We want to develop a life-long relationship with our patients, starting from the first visit. Offering extensive expertise in all areas of dentistry we are able to take care of your needs from the conservative to the complex.

Dentalcard is Canada's premier dental financing company and we are proud to be partnered with Hillside Dental Centre.

Dentalcard offers a variety of options to help pay for your dentistry needs. Your equal monthly payments will be customized to suit your budget. It's that easy!

Simply fill out the application form below ... or you can call us at 1-888-689-9876 and speak with one of our friendly staff members. Go ahead ... Now you can afford to!


Financing Application Form

Begin the application

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About You

Salutation
           

Call Before Fax?
     

Current Address


Own or rent?
     

Procedure information


Employment information


Other income

References

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Additional information

If you have any further information, or have any questions, please contact us at and we will be happy to assist you.

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