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.

M: 9:00am - 6:00pm | T: 10:00am - 7:00pm | W: 10:00am - 7:00pm | Th: Closed | F: 9:00am - 6:00pm | S: 8:00am - 5:00pm

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