Appointment Request

Call (780) 589-4444
To request an appointment, please complete the appointment request form below. The more detail, the better we can serve you. Please state if you are in pain, or have broken a tooth that needs immediate attention. You can also call the clinic line at 780 589 4444. 

If this is an emergency that needs urgent attention from one of our dentists, please call the emergency line 780 554 6332. Someone will return your call as soon as possible. 
*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.

Smile With Confidence

As dental professionals it is our priority to provide quality dental care you can trust.



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