Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone by calling 204-947-0247 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Office Hours
Monday: 8am-4pm
Tuesday: 8am-4pm
Wednesday: 8am-4pm
Thursday: 8am-4pm
Friday: 8am-1pm

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.