Once you have submitted your preferred treatment time and date, one of our team will be in touch with you shortly.

Please note: the time selected is a preferred time only. Depending on availability.

We look forward to hearing from you.

First Name: Last Name: Daytime Phone: Email: Best time to Call 8:00am 9:00am 10:00am 11:00am 12:00pm 1:00pm 2:00pm 3:00pm 4:00pm 5:00pm 6:00pm Best Method of Contact Email Phone Service Required?: Please Select ----------------------------- Cosmetic Dentistry Tooth Whitening CEREC Invisalign Crowns & Bridges Dental Implants Veneers Rebuilding Teeth Sleep Dentistry General Dentistry Tooth Coloured Restorations Preventive Care Root Canal Therapy Gum Surgery Gum Disease Treatment If Other, please let us know the service you require: Appointment Yes No Day / Date Please Select ------------ Monday Tuesday Wednesday Thursday Friday   Time 8:30am 9:00am 10:00am 11:00am 12:00pm 1:00pm 2:00pm 3:00pm 4:00pm 5:00pm Other Comments or Questions Confirmation code: * Please type in the black letters exactly as they appear in the image to the right into the box above it.