Louisville Orthodontic Specialists

Across from Jefferson Mall

4814 Outer Loop
Louisville, KY 40219
502.969.6229

Plainview Village Center

9844 Linn Station Rd.
Louisville, KY 40223
502.339.9228

appointment request

Appointment Request

The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.

Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

Contact Information:

Bold Fields are required.

Please provide the patient's name

 
Appointment Preferences:

Which Day(s) of the Week Are You Available?

Which time(s) of the Day Are You Available?