Forms

           

DENTAL RECORDS REQUEST

To request a copy of your child's records to be sent to another office, please fill out the form below and fax or email it to the appropriate location.

          Harrisburg location -                                                                                                      Fax - 717-558-9844                                                                           Email - [email protected]

          Mechanicsburg location -                                                                                               Fax - 717-737-2158                                                                             Email - wes[email protected]

     If you would like to refer a patient to our office please           click to print  the form below and email it along with      any current radiographs.

REFERRAL FORM

Referral Form2


Our Locations

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Hours of Operation

Our Regular Schedule

Monday:

7:30 am-5:00 pm

Tuesday:

7:30 am-5:00 pm

Wednesday:

7:30 am-5:00 pm

Thursday:

7:30 am-5:00 pm

Friday:

7:30 am-5:00 pm

Saturday:

Closed

Sunday:

Closed