accessibility ACCESSIBILITY

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Appointments are made to allocate a specific time to perform a thorough oral exam and any additional services that follow. We respect our patient's time and make every effort to remain on schedule, likewise we appreciate those who arrive on time for their appointments - it benefits everyone.

If an appointment must be changed, we request a 24-hour notice so that another patient may be scheduled.

Please do not use this form to cancel or change an existing appointment.


Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):
 
 

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.