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. Our scheduling coordinator will contact you to confirm your appointment.

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

**Please review our Broken Appointment Policy.  We require 48 hours notice if you must change/cancel your appointment in order to avoid a broken appointment charge. 

OFFICE HOURS:

Monday - Thursday:  7:30am - 5:30pm



Patient Information

Patient Availability

Reason For Visit

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