Schedule an Appointment

Scheduling Appointments

To schedule an appointment, please contact our Patient Coordinator at (804) 355-3100 or fill out the following form, and someone will get back in touch with you to set up your appointment. Please be sure to fill out the email address so we are able to respond back to your email if needed.

Name:
Email Address:
Treatment Needed:
Preferred Day of Week:
Preferred Time of Day:
Phone Number:
Preferred Dentist:
Comments:

Canceling Appointments

If you find it necessary to reschedule or cancel an appointment, we would appreciate at least 24 hours notice.