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:

Convenient, Off-Street GATED Parking
A waiting room your child will LOVE, complete with 2 movie theaters, stadium seating, surround sounds & MORE!
A new movie every month
Convenient hours & location

 

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 LINES

WHEN SIGNING, PLEASE DO NOT USE INITIALS.