Appointment Request

To get in touch with us please complete the following form, our office will respond to you within 24 hours of receiving your inquiry.

Otherwise, our email address is info@windermeredental.ca and our telephone number is 780-758-8388.

Thank you for your time and we will get back to you as soon as we can!

Patient Information

NamePlease enter your name

EmailInvalid Email address

PhonePlease fill in phone or email address!

Are you a current patient?YesNo

How did you hear about us?

Patient Availability

Preferred day(s) of the week for an appointment? Any DayMondayTuesdayWednesdayThursdayFriday

Preferred time(s) for an appointment? Any TimeMorningAfternoon

Reason For Visit

Please describe the nature of your appointment?

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

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Windermere Dental

Dr. Eric Lai & Dr. Melissa Wong

2025

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