The following form allows you to request appointments with our office. You should use it only for appointments scheduled one week in advance (for same-day emergencies call 1-866-EASY-SMILE).

Appointments requested here must be confirmed by our office either via e-mail or telephone. Please obtain confirmation prior to assuming appointment has been scheduled. You may expect our response within 24 business hours after your request. Make sure you hit the "Submit Query" after completing the form.