Orthodontic Appointment Request

The first step toward achieving a beautiful, healthy smile is to schedule an appointment.

Your complimentary consultation will give you the opportunity to meet our team, learn more about orthodontics, receive a complete smile analysis and find out which treatment options will best meet your needs. During this initial consultation, we will:

• Review your dental and medical history forms
• Provide a complete oral exam, with X-rays, to determine whether treatment is necessary
• Help you create a customized treatment plan
• Discuss all financial information, insurance options, and payment plans

To schedule an appointment, please complete and submit the request form below. Our new patient treatment coordinator will contact you soon to confirm your appointment.

Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.