Appointment Request

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The first step to your healthy smile. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you during business hours to schedule an appointment.

If your concern is an emergency, or of an urgent nature, please call us directly at 226-408-5094.

For less urgent requests, please allow 24 hours for our office coordinator to contact you and schedule an appointment.

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    Click here if you are looking for new patient forms