Book An Appointment Now, With Mexican Dental Vacation

Act quickly, to make sure you will have a space in our modern US style clinic. You will get excellent dental care, and save up to 75% of your dental bill. It makes a lot of sense to book an appointment with us!

In most cases, you can buy an all-inclusive vacation package to Mexico, include all of your spending money, pay for all of your dental work, and still pay less than you would by getting your dental work done in the US or Canada.

At this time, we are able to book your appointment with a 1 week notice, but we would prefer to have you book an apointment with at least 3 weeks notice.

You will only need to provide us with the week or month that you wish to travel, and we will work around your travel schedule.

In addition, it is very helpful to us and yourself if you can provide us with any dental records, such as estimates and X-rays, so that we can serve you better. Getting an estimate from a dentist in the US or Canada, before you get on the plane to Mexico, will get us better prepared for the different specialists you may need to see, and you will see just how much money you will save.

Mailing or faxing in your records to us, and scheduling the different dentists you will see, takes time. The earlier you book, the easier it is for all of us.

Please telephone us at 1-780-701-2507 to book an appointment. Call us at 1-780-701-2507 to speak with a live operator to get more information on our service, or to book your appointment. You can also send any mail requests to our mailing address below.

Mexican Dental Vacation
1477 SE 1st Ave. Suite 108 PMB 415
Canby Oregon 97013

You can also start the booking process by completing our Preregistration form below.

Please include your name and telephone number, and the full names of everyone who is booking an appointment. We will then contact you, and you will be well on your way to saving money, and getting excellent dental care.

Some Questions About Your Needs and Online Registration Form

Please note that all fields followed by an asterisk must be filled in.

1. If you could change your smile, what would you change?

2. On a scale of 1 to 10, how do you feel about the condition of your mouth?

3. On a scale of 1 to 10, how would you like it to be?

4. What is the most important thing about you teeth? (Chewing, appearance, durability, etc.)

5. What is your primary dental concern?

6. What is the condition of your family members' teeth? (parents, grandparents, etc.) Did they have full or partial dentures? A second set of wisdom teeth?

7. In our work together, what would you like to accomplish?

8. When are you planning to get this work completed? (Month or season)

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Country*
Country*

Home Phone*
Home Phone*

Person to call in case of emergency and their telephone number*
Person to call in case of emergency and their telephone number*

Referred by

Have you been a patient of our practice?

	Yes
	No

Health History. All information will be kept private. Are you in good health?

	Yes
	No

Height

Weight

Age

Are you under the care of a physician?

	Yes
	No

If yes, approximate date of last visit to your physician

If yes, for what are you being treated?

Have you had any illness, operation, or been hospitalized in the past 5 years?

	Yes
	No

Do you have an infectious disease that requires extra precautions?

We use XM radio in our office http://www.xmradio.com What kind of music would you like to listen to while in our office?

You will be required to fill out a full registration/ health history/ consent form when you check into our office. Please add any comments or requests.

Please enter the word that you see below.

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