Request Appointment | Happy Light Dental

Step 1

Let’s get you scheduled

Select the type of visit you need to get started.

Step 2

Choose your date & time

Pick a date first, then select one of the available time slots below.

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Happy Light Dental

Available online booking times are shown in your local browser time.

Select a time that works best for you. Our team will review your request and confirm your appointment.

Choose a date to load available times.

Step 3

Patient info

Please enter your information below.

New patient? Turn this on if you have never visited Happy Light Dental before.

First name *

Last name *

Date of birth *

Phone number *

By providing your phone number, you agree to receive appointment reminders and SMS messages from Happy Light Dental. Message & data rates may apply. Reply STOP to opt out.

Email (Optional) I would like to receive news and special offers via email.

Additional details for new patients

This helps our team prepare your first visit.

Gender

Street address

Apt / Suite

City

State

ZIP code

Insurance info for staff review

We will include this in the appointment note so our team can review it manually.

Insurance carrier

Member ID

Group number

Notes for our team

Step 4

Review & submit

Please review your appointment details before sending your request.

Appointment details

Patient details

✓

Appointment request received

Thank you. Your request has been sent to Happy Light Dental. Our team will review it and contact you to confirm your appointment.

Happy Light Dental

Request an Appointment

Let’s get you scheduled

Choose your date & time

Patient info

Additional details for new patients

Insurance info for staff review

Review & submit

Appointment details

Patient details

Appointment request received

Request summary