NEW PATIENT

SPECIAL OFFER

RECEIVE A
COMPLIMENTARY  CONSULTATION* (INCLUDES X-RAYS IF MEDICALLY NECESSARY)
*Usually $216.61 fee

Please fill out the form below, including all required fields, and we will contact you as soon as possible.



THE PATIENT AND ANYOTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR NAY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESUL OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED SERVICE, EXAMINATION OR TREATMENT.