Make an Appointment

Please fill out the Appointment Form as a first action, which contains your contact information. Please click on the box which represents you area of concern.

Below the Appointment Form, there are additional forms to be fill out which give your health history. Since the toxicity in the mouth and the structure of the jaw and bit can effect the whole body, knowing your health history is vital.

Maks sure to fill out all the form in one sitting and hit the [Send Button] before leaving the page.

We look forward to hearing from you and being able to apply Natural Dentistry procedures and approaches which, we believe, will put you in control of your dental health once again.

If you have already requested an appointment you can fill out the first time visit forms here.

What would be Involved in a Visit

  1. X-rays and examination of your oral condition.
  2. Make an Appointment By Filling in the blanks and hit [send]
  3. Print and fill out these Intake forms and bring them in with you.
  4. We are a Fee for Service Office meaning we do not accept payment from dental insurance companies. However we can help you with everything you need to file a claim with your own insurance company.

Appointment Request Form