Periodontist Southfield Michigan Periodontics Dental Implants Periodontal Dentist Southfield MI

Scheduling Appointments

We will work with you to schedule your appointments as conveniently and as expeditiously as possible. If you need to change a scheduled appointment, we request that cancellations of surgical appointments be made at least 48 hours in advance so that we can accommodate another patient.
Cancellations for maintenance appointments should be made at least 24 hours in advance.

For your convenience, we will try to arrange your office visits for times that fit your schedule. Please complete as much of the form as possible.

Note: If you have an emergency, please call 248.357.3100.

Please use this form for appointment scheduling purposes only. DO NOT send personal health information using the form below. Specific patient care questions must be addressed with your doctor during an appointment.

	*Required
*First Name	*Last Name
*Email Address	Home Phone
Work Phone	Cell Phone
What times and days of the week are convenient for you?	Will this be your first visit to our office? Yes No
How did you hear about our practice?	Comments

We monitor our appointment requests several times a day and will usually reply within one business day during open hours.

Periodontist Southfield Michigan • Gum Disease • Dental Implants • Implant Dentistry • Periodontitis Gum Disease • Laser Dentistry • Tissue Regeneration