Online Booking

Aqua Dental Wellness is here to make your dental care experience relaxing and beneficial. Please take this opportunity to request an appointment, and our scheduling coordinator will contact you to book your appointment.

<a href="https://hcube.wufoo.com/forms/r16e9zea07mhlb6/">Click here to fill out our form.</a>

New Patient Forms

Before you become a patient in Aqua Dental Wellness, we require you to fill out your Medical and Dental History form along with the Policy and Waiver.

Please arrive 15 minutes before your examination date to complete the needed documents. Otherwise, please choose one of the following options:

Print out the form and fill out prior to your exam date.
Complete the form online and email us before your exam date.

Medical History Form

Dental History Form

After completion, please download and submit your forms to: [email protected]

Aqua Dental Wellness

New Patients: (204) 500‑0119

Existing Patients: (204) 663‑3423

Unit 3-1565, Regent Avenue West
Winnipeg, MB
R2C 3B3

Hours

Monday – Thursday8:30am – 8:30pmFriday8:30am – 2:00pm

Saturday by appointment only