Appointment Request

This is to request a new patient consultation appointment only.

 If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.

Contact Information:

Bold fields are required.

Please provide your date of birth in the comment section, so we can send you a link to the online registration form. 

If you are requesting your child's appointment, please provide your child's full name and date of birth in this comment section.  Thank you!