Request an Appointment With Flax Dental in Sandy Springs

First name: Last name:

Phone: Email:

I prefer to be contacted by: Are you a new Patient?

I would like to schedule a visit What time of day would you prefer? Preferred Payment Method Were you referred by someone? If so, who?

What is the most important factor in choosing a new dentist? What is your primary goal for improving your smile?

How long have you been thinking about making changes to your smile? What is most important to you when considering cosmetic treatment?

What concerns do you have, if any, about undergoing cosmetic dental treatment?

What day of the week would you like to schedule your consultation (select all that apply) Monday Tuesday Wednesday Thursday

Request an Appointment with Flax Dental