Appointment Request

For your convenience please complete the form below to request an appointment . All requests will be answered the next business day.

This form is NOT to be used for dental emergencies. If you have a dental emergency please call our office at 919-747-7888.

First Name:

Last Name:

Your Email Address: A value is required.Invalid format.

Phone: (ex. 123-456-7890)

Date of Birth:

Will this be your first visit/appointment with Tryon Family Dentistry? Yes No

Please select which office location you would like to schedule your appointment at:

Please select up to three convenient dates/times for your appointment request. We will do our best to accomodate your selections.

First Choice
Date:
Time Slot:

Second Choice
Date:
Time Slot:

Third Choice
Date:
Time Slot:

Please select what type of dental care you are requsting an appointment for:

If you have additional family members to make an appointment request for you will be given the choice to return to this form after submitting.

Please let us know any additional information our scheduler may need. Ex. priority appointment, child, anxiety, epilepsy, elderly, special needs, disabled.

Thank you! We will do our best to find an appointment slot best suited to fit your requests.

Garner Office Grand Opening Ribbon Cutting Ceremony (more info)
Ask about our Zoom Teeth Whitening Gift Certificates!
Make sure to schedule your annual check-up and dental cleaning!
Ask us about the ZoomTM Teeth Whitening System