Book An Appointment

What's involved in your child's first appointment at Smile Town Langley?

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

Your child's first appointment will be about 45 minutes in duration.

To begin. we will dedicate some time to completing a dental and medical history form for your child.

Then, you and your child will meet with either Dr. Chadha or Dr. Kanani for a friendly chat, during which we'll all get to know each other. 

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

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

Yes, I would like to book an appointment for my child(ren)!

First Name: *

Last Name: *

Daytime Phone: *

Evening Phone: *

Email Address: *

I would like to book an appointment for: *

One child Multiple children Other

Patient 1 - Name: *

Patient 1 - Age: *

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Patient 2 - Name:

Patient 2 - Age:

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Patient 3 - Name:

Patient 3 - Age:

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Preferred Appointment Date: *

Secondary Appointment Date Option: *

Do you have dental insurance? *

Yes No Not sure

Additional notes or comments:

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