Skip to Content

Richmond

Richmond804-672-8607

Mechanicsville

Mechanicsville804-746-0918

New patient exam request

Request your complimentary consultation

The first step toward achieving a beautiful, healthy smile is to schedule an appointment.

Ready to schedule your first visit? Please fill out the form below to request your complimentary new patient consultation at James River Orthodontics. Our scheduling coordinator will contact you soon to confirm your appointment.

If you’re an existing patient or if you have a general question not relating to making an initial appointment or becoming a patient, please call our office nearest you!

"*" indicates required fields

First Name*

Last Name*

Email*

Phone*

Choose a location*

Please select who this appointment is for*

Date of Birth*

How many children is the appointment for?*

Children Information

Full Name*

Date of Birth*

Full Name*

Date of Birth*

Full Name*

Date of Birth*

Full Name*

Date of Birth*

Full Name*

Date of Birth*

Full Name*

Date of Birth*

Message

Terms & Agreements*

I have read, understood and agree to the Privacy Policy

Smile with purpose^®

See what sets us apart

Your journey to a beautiful smile begins here

Schedule Consultation