The first step towards a beautiful, healthy smile is to schedule an appointment with Dr. Saeda Basta.  Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to schedule your appointment.  Please allow 1 business day to respond to online requests.

This form does not have the capabilities to reschedule an existing appointments, please contact our office directly, we will be more than happy to reschedule your appointment to a more convenient time.


*Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Email:
Phone:  
Are you a current patient?
Best time(s) to call?

Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Legacy Tracking Code (urchin.js)