Make an Appointment

For your convenience, we will try to arrange your office visits for times that fit your schedule.
For routine dental services, cleaning, or to set a time for a consultation for reconstructive or cosmetic dentistry, please use this form to request an appointment.

Note: If you have a dental emergency, please call (949) 690-6131 at any time, night or day.

Please complete as much of this form as possible, then click the Request Appointment button at bottom of page.  

Your Name: Your Email Address: Your Phone Number:

Please note reason for appointment: Be as specific or general as you like, (ie --"I NEED A CLEANING" or "I would like to discuss options for fixing my teeth", etc...).

Office Hours Monday 8am-1pm & 2pm - 4pm (lunch 1-2) Tuesday 8am-1pm & 2pm - 4pm (lunch 1-2) Wednesday 8am-1pm & 2pm - 4pm (lunch 1-2) Thursday 8am-1pm & 2pm - 4pm (lunch 1-2) Friday --- closed --- Emergency service is available. What time, (or range of time), is convenient for you? Be as specific or general as you like, (ie --"Monday 12/29/2003 at 11:10 PM" or "Any Tuesday or Thursday before 2:30 pm...", etc...).

Will this be your first visit with Dr. Schneider? Yes   No

Please tell us how you heard about our office.

We check our E-mail once a day and will usually reply in 48 hours or less.