Appointment Request

Contact us to make an appointment.

Address:
141-2401G Millstream Road
Victoria, BC V9B 3R5

Email: orchiddental@telus.net
Phone: 250-474-4742

Appointment Request Form

 

Your Name:

Your Email Address:

Your Home Phone Number:

Your Cell Phone Number:

 

Your preferred appointment date and details:

Please enter the characters you see below into the field provided:
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Fill out Our New Patient Form

Your choice with New Patient Exam and Cleaning.