Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

 Business Office Hours
Monday & Tuesday9:00 am - 7:00 pm
Wednesday 7:00 am - 7:00 pm
 Thursday7:00 am - 1:00 pm
Friday7:00 am - 1:00 pm
Saturday & SundayClosed 
*Items in bold are required.
Are you a current patient?

Which office location(s) would you prefer for your appointment?

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.):


What To Expect at Your First Appointment:

At your first appointment with Birch Lake Dental, we'll provide a comprehensive evaluation, obtain radiographic images, and take photographs to properly diagnose your oral health. We also do complimentary VELscope® oral cancer screening at every exam. Then, we'll explain your diagnosis and treatment options. A second appointment will be necessary to provide treatment. 

Please help us provide you with the best personal care possible by bringing the following information to your initial visit:

-Any radiographs (If applicable)

-A list of medications that you are currently taking

-Dental Insurance card (If applicable) 

Additionally, please advise our staff if you have any medical conditions that may be of concern. If you are on any medication that is required prior to dental work, please advise us. 


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

Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.