Appointment Request

The first step toward a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone at 716-565-1830 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.

Office Hours:

Sunday Closed
Monday 8:30 AM–3:30 PM
Tuesday 8:30 AM–3:30 PM
Wednesday Closed
Thursday 8:30 AM–3:30 PM
Friday 8:30 AM–12:00 PM
Saturday Closed

Patient Information

Name

Phone

Are you a current patient?YesNo

Patient Availability

Preferred day(s) of the week for an appointment? Any DayMondayTuesdayThursdayFriday

Preferred time(s) for an appointment?

Reason For Visit

Please describe the nature of your appointment?

Please ask your referring dentist to email a referral and x-ray to jsauer@garveydmd.com.

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