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 opening hours are 8:45 am to 7:00 pm on Mon, Tues, Thurs, Fri.  We are open on Saturday from 8:30 to 1:00pm.

EMERGENCY APPOINTMENTS TIMES AVAILABLE DAILY

Our scheduling coordinator will contact you to confirm your appointment.

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

*Items in bold are required.

Name:* Address: City: State/Province: Zip/Postal: Email:* Phone:*

Are you a current patient?

Yes No

Best time(s) to call?

Morning Noon Afternoon Evening

Preferred day(s) of the week for an appointment?

MON

TUE

THUR

FRI

SAT

Weekdays Practice Hours are 8:45 to 7:00
Sat Appointments are available from 8:30 until 1:00 pm
Preferred time(s) for an appointment?

Any Time

Morning

Noon

Afternoon

Evening

Poor Hearing

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Enter Word Verification in box below