Make an Appointment

The first step towards a beautiful, healthy smile is to schedule an initial appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. 


This form is for new patients only. Current patients should not use this form to schedule an appointment. Please do not use this form to cancel or change an existing appointment. You may call our office. We appreciate your cooperation!

Sincerely,
Boston University Dental Health Center

*Items in bold are required.
Are you a current patient?


Which office location(s) would you prefer for your appointment?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

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