Appointment Request

The first step toward achieving a beautiful, healthy smile is to schedule a new patient consultation appointment. Please complete and submit the request form below so that we can create a chart and check any Dental Insurance you may have before your appointment.  This will help make the consultation quicker and more smoothly. Our scheduling coordinator will contact you soon to confirm your appointment.

Please note this form is for new a patient consultation appointment, If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

We have two offices that operate regularly from 9:00 AM - 5:20 PM.  Our Kentlands office is open on Mondays and Wednesdays and our Rockville office is open on Tuesdays and Thursdays. In addition, we are open one Saturday a month.  The initial consultation visit will be about 30 minutes to 60 minutes because we will be doing a clinical mouth exam and if are you are ready to start treatment we will take digital records to show you a simulation of what your smile will look like at the end of orthodontic treatment.

  • Online Health History Form - English
  • Online Health History Form - Spanish

Online Appointment Request

Please fill and complete the Online Health History form so that we can create a patient chart and check your insurance benefits. After completing the online health history form click on the Online Appointment Request link to choose the best available time and date for your complementary Consult appointment with us.

Online Appointment Request