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The first step towards a beautiful, healthy smile is to schedule an appointment. We see all patients on an appointment basis. Please contact our office by phone or complete the appointment request form below. Our patient care coordinator will contact you to confirm your appointment.

Please allow 3 office days to cancel or change an existing appointment by e-mail or 24 hours notice by phone in order to avoid the cancellation charge. If an emergency should arise after hours, Dr. Mathes' after hours number is on our answering machine message.

*Items in bold are required.
Name:  
Address:
City:
State/Province:
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Email:
Phone:  
Are you a current patient?
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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.):

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