Patient application form

Due to intermittent issues, it is possible you may receive an error message when submitting the application form. We ask that you try to resubmit the form later the same day. If you continue to get an error message, please send a screenshot or the error code number to communications.dentistry [at] mcgill.ca along with your name and phone number. We are working on resolving the issue as quickly as possible, and we apologize for any inconvenience this may cause. 

Please read the information below before you start your application

• The Undergraduate Teaching Clinic is open to everyone 18 years of age and older except for Orthodontic services, which are available to youth and adults up to 35 years old. 
• All prospective patients must first watch this video. The video is an overview of the Undergraduate Teaching Clinic: the services available, who is eligible to become a patient, the screening process, and our location and contact information.
• All prospective patients will attend a rapid screening appointment prior to being accepted as new patients*. We are a teaching institution where patients are selected based on the requirements of our educational program. Patients with limited treatment needs (i.e. less than two fillings, no need for crowns, root canal treatment, dentures, etc.) are not likely to be accepted for treatment in our clinic.
• We treat emergency cases on a priority basis. Limited space is available. Please refer to the Emergency services page.
• The waiting time for a screening appointment can vary.
• The clinic is open from September to the end of May.
• Patients must be able to attend appointments at least once every 2 weeks for 3-4 hours at a time.
• We accept patients covered under the Canadian Dental Care Plan.
• Recipients of a Quebec government financial assistance program with a claim slip (carnet de réclamation) are not eligible for services in the Undergraduate Teaching Clinic.
• Fees are based on the Association des chirurgiens dentistes du Québec fee guide.

* Patients requiring root canal treatment that has been diagnosed by a dentist are accepted on a priority basis and may not need to undergo this examination.