Book Your New Patient Examination

Submit this form or give us a call at (604) 428-9633 to schedule a new patient appointment for your child or other family member.

What's Involved in Your Child's First Appointment?

Our office is open Monday to Friday, 9am - 5pm, and on select Saturdays. Please call our office for details.

The first appointment with your child will take approximately 45 minutes.

The first bit of time will be dedicated to completing a form with information about your child and his/her history.

Then, you'll meet with Dr. Chander for a comfortable chat, during which you'll learn about us, and we'll learn about you.

We'll review your child's medical and dental health history, and we'll also take x-rays –both of which will help determine the course his or her treatment should take.

During this process, you and your child will be able to ask any questions you may have about dental care.

Complete this form to get started.

First Name: *

Last Name: *

Daytime Phone: *

Evening Phone: *

Email Address: *

I would like to book an appointment for: *

Patient 1 - Name: *

Patient 1 - Age:

Patient 2 - Name:

Patient 2 - Age:

Patient 3 - Name:

Patient 3 - Age:

Preferred Appointment Date: *

Secondary Appointment Date Option: *

Do you have dental insurance? *

Additional notes or comments:

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