Appointment Request

The first step toward achieving a beautiful, healthy smile is to schedule an appointment.  Please call our office at 920-432-7230 and our friendly staff will be happy to assist you.  Or, if you prefer, you may choose to complete and submit the appointment request form below. Our scheduling coordinator will contact you soon to reserve an appointment time especially for you.  

NOTE: this form is only 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 920-432-7230.

*Please be advised that Medicad patients are accepted by personal referral only and cannot be scheduled using this automated system.  

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