Request An Appointment To be contacted by Dr. Collins office regarding a new or returning patient appointment please complete the form below. We take measures to ensure that your privacy is protected. Please read our privacy policy for more information. Name* First Last Email* Enter Email Confirm Email Phone*What is the reason for your visit? Or do you have any questions you want addressed during your visit?Please do not use this form to send confidential personal health information. This form uses email, which is not a secure form of communication.Are you a new patient?* Yes No What search term did you use to find this website?* Did you check any online reviews to help you pick our dental office? Yes No Have you looked at our practice Facebook page yet? Yes No Would you be interested in participating in a short survey by telephone? If selected, you will receive a $10 check for your participation. Yes I would EmailThis field is for validation purposes and should be left unchanged.
