Appointment Request



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.

Business Hours:
Monday: 9:00am - 5:00pm
Tuesday: 9:00am - 5:00pm
Wednesday: 9:00am - 2:00pm
Thursday: 9:00am - 5:00pm
Friday: Closed
Saturday:  2nd and 4th 8:00am - 2:00pm
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.):

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

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Office Location

  • Lake Forest
  • 24432 Muirlands Boulevard Suite 201
  • Lake Forest, California
  • 92630
  • Map & Directions
  • Call: (949) 837-8482
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