Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone @ (306) 664-2525, or complete the appointment request form below. Our scheduling coordinator will contact you to schedule your appointment.

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

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

Items marked with an asterisk * are required.

Preferred Appointment Date *
E.g., 11/22/2017
ex: 3pm, 2:15 PM