ASAP Dental Temps

Request Temporary Coverage

Fill out the form below and we'll start checking availability right away.

Office Information

Office / Clinic Name *

Contact Name *

City *

Office Address *

Province *

Postal Code *

Preferred Confirmation Method

Confirmation Email *

Office Phone Number

Text Confirmation Number

Leave blank to use office phone for texts.

Billing Email

Existing Client?

Coverage Needed

Position Needed *

Date *Start Time *End Time *

Date *

Start Time *

End Time *

How Urgently Do You Need Coverage? *

Additional Details

Software Used

Software Experience Requirement

Preferred but Not Required — prioritise candidates who know your software, but include others if coverage is limited. Required — only show candidates with your software. Not Important — ignore software during matching.

Preferred Rate RangeOptional

Offices that are flexible with rates typically have access to more available candidates and faster shift coverage.

I'm open to candidates slightly outside my preferred rate range if it improves the chances of filling this shift.

Notes / Special Requirements

We typically follow up within a few hours during business days.