appointment request
It’s only natural … you want a fantastic smile!

More Topics

New Patient Appointment Request

**Please note: this form is for requesting an appointment as a new patient. If you are an existing patient, need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly by calling (717) 334-8158 for our Gettysburg office, or (717) 762-1161 for our Waynesboro office.

To schedule an appointment as a new patient, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.

Contact Information:

Bold fields are required.