Appointment Request & Forms

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 scheduling coordinator will contact you to confirm your appointment.

With two denturists, superb support staff and an onsite dental lab, our practice has the benefit of a diversified service offering, as well as greater flexibility in scheduling appointments on days and at times that are convenient for our patients. 
Should you have a provider preference, please let us know so we can accommodate your request.

In order to schedule an appointment on a day and time that works best for you, please plan ahead and schedule your appointment as much in advance as possible.  

Scheduled patients can pre-register online from the comfort of home. Our online patient registration form is secure, to protect your identity and personal information. It can save 10-15 minutes of your precious time before your first appointment. When filling out the registration information please skip the insurance section by selecting 'none'. Let our front office staff enter your insurance information.

Click here to get started.


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


Patient Information

Patient Availability

Reason For Visit

Late Arrivals Make it Difficult for Everyone. 

We do understand that circumstances may arise unexpectedly, however, late arrivals tend to compromise the punctuality of service we are able to provide to you, as well as our other patients.  We do maintain a relatively tight schedule, and we make every attempt to begin your appointment at the time scheduled.  

Cancellations and No-Show Policy

Due to the difficulty of filling last-minute cancellations, we respectfully request 24 hours notice.  If this request is not fulfilled, it will be necessary to charge a $35 fee for missed appointments or last-minute cancellations. 

Please understand that we consider this a last resort, with the real motivating factor being our concern for the quality of service we are able to provide to you, and to our other valued patients.


Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.