Request an Appointment Please fill in the form to request an appointment. Appointments are not guaranteed, but we will contact you to confirm. Alternatively, give us a call at 250-380-1888! We will be happy to help. First Name* Last Name* Email Address* Phone Number*Date of Birth Month Day Year Are you an existing patient?* Yes No Please let us know what days and times you are available*What is the reason for your visit?*Previous Dental OfficeApproximate date of the last dental appointment Month Day Year CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.