CBCT Referral Form

Starting June 27, applications for the Canadian Dental Care Plan (CDCP) will be open for children under 18 and individuals aged 18-64 with a valid Disability Tax Credit. The CDCP aims to reduce financial barriers to accessing oral health care for eligible Canadian residents.

Dentist Information

Referring Dentist:

Dentist Address:

Dentist Phone Number:

Dentist Fax:

Patient Information

Patient Name:

Date of Birth:

Address:

Postal Code:

Phone Number:

Parent/Guardian:

Insurance Information

Insurance Company

Member’s Name

Member DOB

Plan #

Certificate #

Visit Information

Additional Instructions / Notes:

Make an appointment with us today!

A highly regarded dentist serving patients at Chelmsford Dental Clinic

Dr. Grebe features 23 years of diverse experience in the field of dentistry. He credits his success to never turning a child in need away.

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Call or text us now!

705-897-9777

Visit Our Office

2945 Highway 69 North, Suite 301
Val Caron, ON P3N 1N3

Office Hours

Monday: 08:00 am – 05:00 pm

Tuesday: 8am - 8pm

Wednesday: 7am - 5pm

Thursday: 7am - 5pm

Friday: 8am - 2pm

Sat & Sun: Closed

At Grebe Dentistry we believe that every smile has a unique story. Every day in our practice, we meet patients who feel uncomfortable with their smiles. No one needs to go through life being self-conscious about his or her teeth.