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If you are experiencing a dental emergency, please call our office right away for instructions. Please do not use this form. Call 334.539.5645

We are providing this “Request an Appointment” form as a convenience but your message to us should not imply the creation of a doctor-patient relationship (which only happens when you come to our office for a visit). We therefore ask that you not include personal health information in your message. Please call us if you’d like to send us personal information so that we can make sure it’s handled securely.

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