Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our Vancouver general & cosmetic dental office by phone @ (604) 876-2426 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Our office hours: Mon./ Wed. 11 am - 6 pm; Tues./ Thurs. 8 am - 3 pm

Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.


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