The first step toward a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone at 707-255-7477; or complete the appointment request form below.  If completing this form, please allow at least 1 business day for processing.  Please note that our office is open on Thursday evenings for your convenience. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Email:
Phone:  
Are you a current patient?
Best time(s) to call?

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.):

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