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Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our Reno office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

For your convenience, we have provided our patient forms online. Prior to your appointment at TMJ Therapy & Sleep Center of Nevada, please print out and complete these forms.

New Patient Form (Please print and fill out before your appointment.)

Map to Office

Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Are you a current patient?

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

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

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