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Make an Appointment
 

Schedule or Change an Appointment


*PLEASE NOTE: Appointments requiring doctor's attention (regular adjustments, putting on and taking off braces, and delivering retainers) are typically done on Monday, Tuesday, or Wednesday.

New patients can access our 'New Patient Form', and 'Medical History Form,' from our Forms Page.


Call 602-992-7182

We will personally answer your call Monday through Thursday from 7:00 AM to 5:00 PM & Friday from 7:00 AM to 2:00 PM, or you can leave a voicemail after hours and we will call you when we return.


Email via the following form

Use the form below to send us an email. Please remember to include a phone number or email address where somebody from our office can contact you.


Patient First Name:

Patient Last Name:

Current Appointment Date:

Current Appointment Time:


Keep this appointment, but I have a problem that needs immediate attention.
I need to reschedule an appointment.
I don’t currently have an appointment, but I need to come in.


Appointment preference 1



Date:

Time:

Appointment preference 2



Date:

Time:

Appointment preference 3



Date:

Time:


Your first name:

Your last name:

Relationship to patient:

Email:

Phone:

Contact hours:


Contact via phone.
Contact via Email.
Contact via phone or Email.


Other Information:

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