Request Appointment

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 Note: This form cannot be used to cancel or change an existing appointment.  Please contact us directly for those changes.

Patient Name *
Patient Name
Phone Number
Phone Number
While we cannot guarantee availability, please let us know when would work best for you.
Terms & Conditions *
At York Dental Group, we work diligently to protect our patient's rights and privacy. Requesting an appointment via our Internet form is considered part of what HIPAA has identified as electronically protected information (ePHI). Unfortunately, despite the best efforts we make or take, there are people or entities that may attempt to intercept the data you transmit to us. By checking the box, and electronically requesting an appointment, you understand that you are making an appointment over the internet and that York Dental Group will keep this information confidential but cannot guarantee that others, outside of our practice, may not illegally intercept this communication. As a result of continuing, you are sending this transmission and accepting the inherent risk(s) associated with making this request for an appointment. As an alternative, you are always welcome to contact our office via telephone to schedule your appointment.