Please complete the form below by entering the PATIENT'S FIRST/LAST NAME and we will respond to confirm a convenient time for your child’s appointment. We will do our very best to accommodate your scheduling preferences but will offer similar alternatives if necessary. If you prefer to speak with a staff member to schedule your child’s appointment or need help understanding what is and is not covered, please give us a call at (336) 286-0200 during our regular office hours, our experienced team can explain your child's benefits clearly to you and give you clear estimates for any treatment.

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Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.