Appointments Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!NamePhone*Email* Preferred Date* Preferred TimeMorningAfternoonEveningNature of VisitI agree to be contacted by Smile Architect in regards to this submission.*YesNoPhoneThis field is for validation purposes and should be left unchanged.