Emergency Contact

In the case of a dental emergency, you can contact Dr. Mak after regular office hours. Fill in the following information and Dr. Mak will contact you as soon as possible. Please also read over the Dental Emergencies section of this website to determine if your symptoms require immediate treatment, and for instructions on how to handle some common dental emergencies at home.

    Name *

    Phone: *

    Email *

    *Are you currently experiencing pain?

    YESNO

    Nature of your emergency *

    *Are you currently a patient of Kits Family Dental?

    YESNO

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    Please review the information you are about to submit for accuracy. Thank you!