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Appointment Request

    Family Dentistry & Dental Specialist Group

Dr. Batta, Dr. Borrero, Dr. Altman & Dr. Guy
4250 Town Center Blvd., Orlando, FL 32837
407-856-0208

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

New Patients can always print out our forms and bring them filled out.

New Patient Forms or go to Patient Login and fill out the New Patient Questionaire

After filling out all the information for your appointment request please include your dental insurance information in the box below. In  box below please include reason for the requested appointment, name of insurance and type of insurance (PPO or HMO). Thank you!

Emergency patients please call the office right away at 407-856-0208

*Items in bold are required.

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.):

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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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