Online Store

If you order through the online store, you must pay by credit card.


However, you can also order by mail, telephone or fax. Payment in full must be received before purchases are shipped. It can be made either by credit card or cheque made payable to the Association des chirurgiens dentistes du Québec. On your order, you must specify the name and the quantity of the forms you want, as well as language desired, where applicable.


If you are not a member of the ACDQ, please contact Marie France Auger, by email at mauger@acdq.qc.ca or by phone at 514 282-1425 or 1 800 361-3794, extension 262.


Category Item Language Format Price Quantity

Form


Absence Voucher

Bilingual

50

$3.00

Form


Confidential Questionnaire of Introduction

English

50

$6.00

Form


Dental Claim and Treatment Plan Form

Bilingual

50

$6.00

Form


Dental File - Original Odontograms

English

50

$6.00

Form


Dossier dentaire - Odontogrammes originaux

French

50

$6.00

Form


Operative Procedure

Bilingual

50

$6.00

Form


Questionnaire d’inscription confidentiel

French

50

$6.00

Folder


Pit and Fissure Sealants

English

50

$9.00

Folder


Puits et fissures

French

50

$9.00




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