Schedule Your Appointment






Please choose your option.



Is your child coming for a check-up, or a continuing of an existing treatment plan?
   
Is there a specific treatment you would like to address?

Is your dental insurance information the same?  
We will ask you a couple of qustions to update your dental insurance...

 
 
 


Is there anything specific you would like us to know about your child's visit?

Has there been a change to your email address?  

Are your telephone numbers still the same?  

 
 


Our scheduling coordinator will work on your request and contact you to confirm your appointment.

We are excited to welcome you to Summerfield Pediatric Dentistry!


Please, press here when you're ready to move forward.

Okay great!
We are going to ask you a couple
of short questions so that we reserve
the correct amount of time for your child...

Is this for a routine check-up, an emergency exam, or
are you coming in for a second opinion?


When would you like to bring your child to see our office?

 
 

How can we reach you to confirm your appointment?

 

Can we have your email address so that we can send you
appointment reminders & information about the office?
(don't worry, you can unsubscribe anytime you wish)

  
Great!


Please, press here to move forward.



Is this your child's first dental appointment?

  
Great! Please tell us when your child last saw the dentist:

 
 
 
 
 




Are there any X-Rays we should have forwarded to our office?

  
Oh great... however, because of HIPAA regulations, we kindly ask you
to give your child's previous dentist our secure email
address so that they can forward us the x-rays.

The address is: secure@summerfieldpediatricdentistry.com



Do you have dental insurance for your child?
  
 
 
 





Is there anything specific you would like us to know about your child's visit?

Press here to continue.








Does your child have any drug allergies we should know about?
  
 



Does your child have any food allergies?
  
 


Our scheduling coordinator will work on your request and contact you to confirm your appointment.

We are excited to welcome you to Summerfield Pediatric Dentistry!




Click on the applicable cities below to get directions to our Scarsdale practice
Bronxville | Eastchester | Larchmont | Hartsdale | Scarsdale | White Plains
Tuckahoe | Rye | Yonkers | Bronx | Mount Vernon | New Rochelle
Croton-on-Hudson
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