Thank you for completing the request an appointment form on our website. We have received your information. A Customer Care Representative will contact you within 24 hours. If you need to speak with us right away, please give us a call at 844-616-5437. We look forward to speaking with you soon.

Kind Regards,
The Kids Care Dental & Orthodontics Family

We can’t wait to meet you – so let’s get started!

Prior to seeing each new Dental or Orthodontic patient, we need to gather a little information. Here are the forms we need for your upcoming appointment. Please click on either dental or orthodontic and fill out the form online prior to your visit. Once you hit “submit” it will be sent directly to our practice. Alternatively, you may fill this out at our dental practice, however, please arrive at least 15 minutes prior to your appointment to give yourself time to fill them out.

We value our patient’s privacy and would never sell or share your personal information. It is used solely for the purpose of providing you with excellent service, speeding up your visit and assisting with your insurance. See you soon!


 

Special thanks to our real patients Erin and Grace for being featured in this video.

DENTAL FORM

NEW PATIENTDENTAL FORM

CLICK HERE
ORTHODONTICS FORM

NEW PATIENTORTHODONTICS FORM

CLICK HERE

REQUEST AN

A SERIOUSLY HUGE BUTTON TO CLICK & BOOK AN APPOINTMENT

CLOSE

FILL OUT THE FORM BELOW TO REQUEST AN APPOINTMENT:

New Stockton Office Opening this November

3 Fun Tooth Fairy Visits

State Required Dental Exam

Donate a Backpack Today!