Appointment Request
The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone by calling (407) 438-9800 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.
New Patients Click Here to access and fill out patient registration forms
Please do not use this form to cancel or change an existing appointment.
Patient Information
Patient Availability
Reason For Visit
Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.
I have been seeing Dr. Childers for cleanings and procedures for well over ten years. I tell people if I needed to I would drive to Georgia to be her patient! She and her staff are excellent, they make me feel like family and take very good care of me and my dental needs. Dr. Childers is constantly improving her equipment and expanding her knowledge base on state of the art dental procedures. I was referred to Dr. Childers by a well known Orlando pediatric dentist who told me she was who the dentists go to for their own dental work! Julie M. I wanted to write and thank you about my visit yesterday. Thank you for training your staff to be so understanding of those with special needs, everyone made me comfortable and explained all the information very clear. They all went above and beyond just to make me comfy. Thank you for cleaning my teeth and explaining to me how all those machines work. This is great Example of legendary dental skills and service. Sean