Request An Electronic Consultation
Date Of Birth
Text messaging at the number listed is our default form of communication. Please indicate in your message if this is not an option.
We will try to get back to you within a few hours of your preferred time during normal business hours (8am-4pm) After hour inquiries may or may not be returned until the next day.
Things to consider....
? Sharp or dull ache? Scale of 1-10 (10 being terrible pain) For how long?
Loss of sleep
Recent dental work
When was your last cleaning/checkup
Attachments: Please attach photos below
or drag files here
Any photo(s) can help in our assessment and optimize coverage on this service. (Cell phone pictures have been working great)
? Please click the link to the right to fill out your new patient information forms. We will need these forms filled out to complete your consultation. This will open in a new window. (
: Please make sure this form is submitted before you continue.) Also, please be aware we are no longer taking new patients with state insurance. If you have state insurance, your visit will be out of pocket. We apologize for any inconvenience. Thank you!
TAKE ME TO THE NEW PATIENT FORMS!
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