You can schedule a New Patient appointment using the form below.

Office

Date

Time

Name

E-mail

Parent/Legal Guardian name

Date of Birth

Phone

May we send you an appointment confirmation via text message?

Do you have dental insurance?

Insurance carrier

Member ID

Have you had a recent dental cleaning?

Date of last cleaning

Dentist who did your last cleaning

If you have a dental cleaning before your consultation appointment, we might be able to begin with orthodontic treatment on the day of your consultation.

Orthodontic Specialists of Florida does not sell your information or provide it to third parties for marketing and solicitation. By clicking Submit, you agree to allow us to contact you to follow up on your orthodontic and related treatment.