Appointment Request

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 and our office will contact you within 24 hours to schedule your appointment.

Office Hours:

Monday: 8 a.m. – 5 p.m.
Tuesday & Wednesday: 7:30 a.m. – 4:30 p.m.
Thursday: 8 a.m. – 5 p.m.
Friday* : 8 a.m. – 12 p.m.
*Occasional Fridays

This form WILL NOT cancel or change an existing appointment. This must be done by calling our office.

*Items in bold are required.
Are you a current patient?

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.


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