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.

If you are not a current patient at our office click here to print a New Patient Form so you can have it filled out before you arrive.

Patient Information

Patient Availability

Reason For Visit

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

Super friendly & helpful front desk staff. I have been having dental issues that my past dentist has been missing for months, in one visit to Shelburne Family Dental Dr.Dino addressed all my concerns (without me even having to mention them!) & now many appointments to book moving forward. If I could rate higher than a 5 star I would! Thank you guys for everything!
T

Tara Parker
Always do great work. And it's a warm positive environment.
G

Giuliano Andreozzi
Ready for your first appointment?