515 - 750 West Broadway, Vancouver, BC V5Z1H4 Phone: 604-709-9001 Email:
dentist@fairmontdental.com
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Mission Statement
Meet the Team
Dr. Andrew Cheng
Dr. David Yang
Lorna Nielsen
Vanja Gasic
Dental Benefits
Dental Plan Information
Payment Options
Related Links
Dental Services
Amalgam Removal
Botox®
Cerec3® Crowns
General Anesthetic
Implants
Invisalign® Orthodontics
Nitrous Oxide Sedation
NTI System
Oral Surgery
Root Canal Therapy
Zoom Whitening
Smile Gallery
Technology
Cerec Lab Technician
Digital X-Rays
Periowave™ Technology
Sterilization Protocol
Patient Information
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Appointments
Please fill in the following forms to set an appointment.
Personal Information
Please provide us with the following information:
First Name:
*
Last Name:
*
Phone Number:
*
Email Address:
*
Have you been to the Fairmont Dental Centre before?:
*
Yes
No
Please select the dentist that you would like to see:
*
Select a dentist
No preference
Dr. Andrew Cheng
Dr. Cindy Cho
Dr. Fred Weinstein
Dr. Vivian Chow
Preliminary questions
Please provide us with the following information:
1. Are you on antibiotics?:
Yes
No
2. Have you been seen by another dentist?:
Yes
No
If yes, by whom?
3. Are you in pain?:
Yes
No
4. Do you need premedication prior to your appointment?:
Yes
No
5. Reason for Appointment:
Appointment Date and Time
When would you like to have the appointment?
Appointment Date:
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Appointment Time:
*
Anytime
Morning
Afternoon
Evening