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 Address* Street Address City ZIP / Postal Code Phone*What search term did you use to find this website?*Best time to call:MorningAfternoonEveningPreferred days and time for the appointment:Please tell us the reason for your visit, or if you have any questions or concerns about your dental health that you would like addressed during your visit.Are you a new patient?*YesNoDid you check any online reviews to help you pick our dental office?YesNoHave you looked at our practice Facebook page yet?YesNoWould 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 NameThis field is for validation purposes and should be left unchanged.
