Appointment Request

Appointment Request in Grand Rapids

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

HOURS OF OPERATION

Monday: 9:00AM to 4:30PM
Tuesday: 9:00AM to 4:30PM
Wednesday: 9:00AM to 4:30PM
Thursday: 9:00AM to 4:30PM
Friday: Closed
Saturday: Closed
Sunday: Closed 

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.