make an appointment

You may call our offices or fill out this form to request an appointment. We will contact you to obtain additional information about your child and to confirm your appointment details.

Appointment Request Form

Your Name *
Your Name
Child's Name *
Child's Name
If you would like to schedule multiple children, please share their names in the "additional notes" field below.
Phone *
We like to schedule a patient's first appointment over the phone, but if you prefer, we can communicate with you over text or email.
How did you hear about Small Bites?
Please check one or two