Free Check-Up

NEW PATIENTS WITH NO INSURANCE

Thank you for choosing us. No insurance, no worries! With your first visit we are offering patients without insurance:

• Free x-rays
• Free check-up
• 10% off your treatment plan

Please note this form below to request a free check-up appointment. Our scheduling coordinator will be calling you soon to confirm your appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

Contact Information:

Bold fields are required.

Your Name First and Last Your Email Address:
Your Phone Number Comment & best time to reach you:

 

Submit Request