Appointment Request

For your convenience, we will try to arrange your office visits for times that fit your schedule. Please complete as much of the form as possible, then click the Request Appointment button at bottom of this page.

Note: If you have an emergency, please call our office.

Please use this form for appointment scheduling requests only. DO NOT send personal health information through the form below. Specific patient care questions must be addressed with your doctor during an appointment.

Make an Appointment
The first step towards a beautiful, healthy smile is to make an appointment. Please contact our office by phone or complete our appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. Please understand we cannot guarantee the time and day you request. We look forward to meeting you!