Request an Appointment

Please complete the following form to request an appointment to see one of our friendly clinicians at Downtown Dental.  Questions with a * next to them are compulsory.

By indicating your preferred day and time we will contact you back and do our best to accommodate you in our schedule as soon as possible.  Alternatively you can book online by clicking the link at the top of the page.

Please note that this form should not be used in case you are seeking urgent emergency dental treatment.  If you have an urgent dental problem then please contact your own dentist. For existing patients of Downtown Dental, please call our office directly or if it is after hours, you can call or SMS Dr Roger Tiang on 021 612355.

First Name *

Last Name

Contact telephone number *

Your Email *

Which dentist would you like to see

Preferred day of the week to be seen (Click to choose)

Preferred time of the day for appointment (Click to choose)

What kind of appointment do you need?

Tick if you would like an indication of the costs involved

Additional comments

Where did you first hear about us?