Medicaid Appointment Request
Need a dental appointment for your child? Requesting an appointment at Children's Dental Theatre is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule.
Scheduling an appointment with Children's Dental Theatre is so much more exciting than scheduling a regular dental appointment! Our patients gets to enjoy the latest children's movies with their preventive dental care.
Our Office Offers:
ALL PATIENTS, EXISTING AND NEW, MUST FILL OUT FORM.
PLEASE FILL OUT A SEPARATE REQUEST FORM FOR EACH CHILD.
ONLY FILL OUT FORM FOR YOUR CHILD OR CHILDREN AGES 3-17.
PLEASE SIGN FULL PARENT NAME ON ALL SIGNATURE
WHEN SIGNING, PLEASE DO NOT USE INITIALS.
Children's Dental Theatre Features:
Convenient, Off Street, GATED Parking!
A waiting room your child will LOVE; complete with 2 movie theaters, stadium seating, surround sound & MORE!
A new movie every month.
Convenient hours & location.