Request an Appointment

Fill out the form below to request an appointment. We will contact you to confirm the appointment. If you have not received a confirmation within 48 hours, please contact us. Thank you!

Requested Appointment Date:


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Save Time!

Submit patient forms online and reduce your time in the waiting room.

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Patient Forms

The easiest way to complete your medical history is to click the link below. This will help make your first visit smoother.

We do still suggest arriving 15 minutes prior to your first appointment to review our privacy policy and go over any insurance questions you may have.

We will ask that you update the medical history every six months to insure that your information is accurate.

After filling out the Health History for your child, please call our office to schedule his/her first appointment with us.

Text Messages and eMail
Our office uses both text messages and email to remind you of your child's appointment and to let you know if the office has to close unexpectedly due to snow or other unforeseen events.

It is thus very important that we always have your most current information and this includes any changes to your dental insurance.

Submit Forms Online

Before completing our online forms, we require that you read and agree to our Privacy Policy.

The following form is available for secure online submission. Submitting your forms online will speed up your registration process in our office and reduce time spent in the waiting room.

After your form has been submitted, it will be processed by our office staff and ready for your signature when you arrive for your appointment.

» Pediatric Dentistry Patient Information Form