DENTAL EMERGENCIES

Online Dental Emergency Consultation

Are your teeth causing you pain? Does it hurt every time you try to chew? Do you suffer pain every time you eat or drink something cold? Do you have swollen gums? Have you lost a tooth as a result of a fall or blow?

If you’ve answered yes to any of these questions or have other dental concerns, call Fleetwood Dental in Surrey, or fill in the following online dental emergency consultation form. We will respond as quickly as possible.

Online Dental Emergency Consultation Form

To receive a response, please fill out this form and hit “submit.”

First Name

Last Name

Date of birth

Phone

City

If yes please list

When did you first start having symptoms?

Additional Information: Please provide us with any additional information that you feel is relevant regarding your dental emergency? If you are suffering from dental trauma, please provide more information about the trauma.