The first step to 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 do not use this form to cancel or change an existing
*Items in bold are required.
print, fill out and bring the following three forms to your first
Records Release Form
(New Patients: Fill out and
this form to your previous dentists
to have your records sent to us.)
(Current Patients: Fill out
send this form to us to have your
records sent to a new Dentist.)