Appointment Request

To schedule an appointment with KMA Dental, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.

Please note that this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

*We require two business days notice for appointment cancellations. 


Phone : 613 548-7963
Fax: 613 548-7348
Email address: