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Online Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by calling 860-523-4239 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Appointment Cancellation Policy 

We feel that our patient’s time is valuable. When your appointment is made, a room is reserved, your records are prepared and special instruments are readied for your visits. Except for emergency treatment, you can except us to be prompt. We, of course, would appreciate the same courtesy from you. Appointment reminders are provided 4 days prior to your visit with a phone call, text message and/or email.  If you need to reschedule, please contact us at least 48 hours prior to your visit so that we can afford the treatment time to another patient. Missed, untimely appointment cancellations or same day cancellations are subject to a charge on your account.

Please do not use this form to cancel or change an existing appointment. Please contact our office by calling 860-523-4239. 

*Items in bold are required.


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.