Request an Appointment

If you would like to schedule an appointment please complete the form below or drop us a line.
Upon receiving your appointment request we will contact you asap to confirm your appointment or to schedule you a new apointment. We are currently accepting new patients, and our office looks forward to providing you with the quality dental care in Hannover that you deserve.
Please note that this form is only for requesting an appointment, not a confirmation!

Your Name (required)

Your Email (required)

City, Country (required)

Are you a current patient?
NoYes

What is your concern?

Your dental insurance plan:

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

Preferred time(s) for an appointment?
Any TimeMorningAfternoon

Your message (required)

You can use the next fields to submit us up to 2 files like referral slips, X-Rays or any other document in digital format. Accepted formats: txt, rtf, pdf, jpeg, jpg, png.


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