Request an Appointment with Dr. Harvey

Our office is open Monday through Thursday. We make every effort to accommodate all appointment requests and a scheduler will call to confirm your appointed time. You should expect a call within one working day. Many patients get their first request.

Most insurance accepted and we have special rates for self-paying patients!

"Thanks for your request, I look forward to seeing you and your child!" -Dr. Harvey

Your Email:

Date Requested:   Mon: Tues: Weds: Thurs:   

Preferred Time:

Name Of Child(ren):   Childs Age:

Parent Last Name:   First Name:

Telephone:

Street Address:

City: State: Zip:

Dental Insurance Carrier:

How did you hear about us?: