Request an Appointment

The first step toward achieving a beautiful, healthy smile is to schedule an appointment. Please note these forms are for scheduling or requesting new appointments. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.


New Patients – Schedule Your First Visit

New patients may schedule their first visit using our online scheduling software. Click the applicable link below to begin.


Request an Appointment

New and existing patients may request an appointment for a first visit or routine check-up using the form below. Our staff will contact you to confirm your appointment.

Patient Name *

Parent Name


Phone *

Type of Appointment

Preferred Location *

Preferred Date *

Preferred Time *