Appointment Request

The first step towards a beautiful, healthy smile is to make an appointment! Please contact our office by phone at 405-235-7288. We will help you find a convenient  time in your schedule to see us.

*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.