Appointment Request

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 note our office was limited in March, April and May due to COVID-19. We are in the process of rescheduling our existing patients and do not have the capacity to accept new patients at this time.  We apologize for the inconvenience and are hopeful we can begin seeing new patients again soon!

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

Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.