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.
Items in bold are required.
Are you a current patient?
Best time(s) to call?
Preferred day(s) of the week for an appointment?
Monday Tuesday Wednesday Thursday
Preferred time(s) for an appointment?
Morning Noon Afternoon
How long has it been since you have seen a dentist?
On a scale of 1 to 10, 10 being the higher. Where do you rank your current dental health?
Please describe the nature of your appointment (e.g., consultation, new patient, etc.):
Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.