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.

Please call our office to cancel or change an appointment. Feel free to use this form to initiate an 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?

Which office location(s) would you prefer for your appointment?
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: A limited number of Friday morning appointments are available by special arrangement or for particularly difficult and time consuming procedures.

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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