accessibility ACCESSIBILITY

Our phone lines are open to take your calls during our regular office hours or you can email a request with several appointment times suitable for you.

Our Business Team will contact you by phone or email to verify your appointment.


For your convenience, you can now make an appointment on our site. Just complete the following forms and one of our staff will contact you as soon as possible to confirm your appointment date and time.

 

Medical History Form

Patient Registration Form

Notice of Privacy Practices Acknowledgement

  Dental Material Risk to Patients Letter

ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF Privacy Practices




Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):