Appointment Request

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, we will contact you to confirm your appointment.

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Office Hours:

Monday 10:00am - 6:00pm
Tuesday 10:00am - 6:00pm
Wednesday 8:00am -2:00pm
Thursday 10:00am - 6:00pm
Friday 8:00am - 12:00pm
Saturday  Closed
Sunday  Closed

Please do not use this form to cancel or change an existing appointment , you must call the office to do so.

All scheduled appointments will receive appointment reminders by text (ovp@smiles.ms), e-mails

(craig_a_schussler_dds.sr@e.smilereminder.com) or by telephone as a recorded message.


Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
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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