Requesting
( We
require two business days notice for cancellations.)
Name:
E-Mail
Address:
Please make sure emails from our website
address are not blocked by your email spam filters!
Phone
Number:
Type
of Appointment: Cleaning
& Exam with
We
are usually booked out 2 months for cleaning appointments . We appreciate your patience while we work you in
on a cancellation.
Our Office Hours:
Tuesday & Wednesday 8:00am - 6:00pm We do not work on Mondays, hours on
Tuesday and Wednesday have recently changed.
Current
Appointment : (if applicable)Date
Requested
Appointment: Date
Morning and evening appointments are the most popular, please
specify all your available days and times if your first choice
is not available. If
you do not need a specific date and time, tell us what is convenient for
you, i.e. days of
the week, am or pm and range
of dates.
Called
for Cancellation:
Other
Requests/
