Appointment Request

Welcome!  This Appointment Request is for New Patients to the Practice.

The first step toward achieving a beautiful, healthy smile is to schedule an appointment. Please choose one of the following options to best meet your needs.  Our scheduling coordinator will contact you soon to confirm your appointment.

Options:

(1) To make your own New Patient Consultation appointment online and select from a list of appointments available, please click on the link below:

Clarence office  (Tuesdays)

• Adults:  New Patient Online Form
• Children (under age 18):  New Patient Online Form

Depew office (Weds, Thurs, Fri)

• Adults:  New Patient Online Form
• Children (under age 18):  New Patient Online Form

(2) To have our scheduling coordinator contact you for either our Depew or Clarence office, please complete the below form. 

{Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly at 716-681-2259}.