Request an Appointment

The first step toward your new beautiful, healthy smile is to schedule a COMPLIMENTARY CONSULTATION. Please complete and submit the request form below, or new patients can press the button below to schedule online.  Our scheduling coordinator will contact you to confirm your appointment. If you contact us after hours, we will get back to you the next business day.  We look forward to hearing from you!

New Patients: Click here to schedule online!

Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please call our office during normal business hours.

    Patient Name *

    Parent Name

    Email *

    Phone *

    Type of Appointment

    Preferred Date *

    Preferred Time *

    Comments