Appointment Request Form

To request an appointment, fill out our contact form below
or call us at: 250-748-1842.

All fields required

Example:    Monday, April 25

Example:    2-3pm






Leaves Leaves

New patients welcome!

Access our Appointment Request Form by clicking the Appointment Request button below. If you have any questions, call our clinic at: 250-748-1842.



Appointment Requests

The Dental Practice of Dr. Jolene Benham & Dr. Dale Benham