Pure Orthodontics

Making America Beautiful, One Smile at a Time

(248) 348-8400

(810) 695-8601

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 time(s) of the Day Are You Available?


 

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