Make an Appointment

Please submit the following request form and one of our friendly scheduling coordinators will contact you to set up your first appointment.

Please note these forms are for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

250-860-3111

Existing Patients

Patient name(Required)

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Responsible party

Phone(Required)

Type

Email(Required)

Reason for Appointment(Required)

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New Patients

Patient name(Required)

First Last

Responsible party

Phone(Required)

Type

Email(Required)

Reason for Appointment(Required)

Have you consulted with an orthodontist before?

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Chelsey R.

My experience with Dr. Smith was nothing less than amazing. She is a caring, gentle orthodontist who takes time to explain everything ensuring my family and myself were comfortable with the procedures I had. Dr. Smith is uplifting, humorous, kind and patient. Not only, has she given me confidence by creating a beautiful smile, she has impacted my life in such a positive way by being an amazing person in general. Not many people can say they miss going to their orthodontist, but I surely do.