Appointment Request

We know you have many choices when choosing a Dentist in Oklahoma City, OK so we have made requesting an appointment a simple process via our Web site. If, for any reason you cannot keep a scheduled appointment, or will be delayed, please call us as soon as possible at (405) 525-5555.

Office Hours
Monday - Wednesday 8:00AM - 5:00PM
Thursday 7:00AM - 3:00PM
Friday By Appointment Only  

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.