Appointment Booking

Please fill out this form to schedule an appointment with our office. We will contact you with further instructions. If you are paying a booking fee, please follow our secure checkout

 

Please select a day that you are available for the appointment. Please consider the time we allow for appointments to allow in your schedule

Emergency exams are 30 min

New patient exams are 1.5 hrs

Consultations are typically 15min

 

We reserve appointments for new patients Monday through Thursday at 9am, 11:30am, and 3:30pm.

 
 
 
 
 
mm/dd/yyyy
 
 
 
 

 

Insurance Information

 
 
 
 
mm/dd/yyyy
 
 
  1. dental and medical cards FRONT and BACK
  2. x-rays if you have any
  3. records from your previous providers
Drop your files here
 
 

Chief Complaint-Tell us how we can help you? What dental concerns do you have? If you just want a routine cleaning and exam, please state so.

 
 

If you have any dental problems, please fill out the questions below.