ADA Accessibility Information
Accessibility

A
A

A
???

Covid-19 Related Material

Upon Arrival COVID-19 Questionnaire

Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

Have you visited our office before? *

Yes No  

What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

Would you prefer a virtual visit? *

  Yes
  No

What concerns, if any, would you like to speak to the doctor about:

Confirmation

How do you prefer to be contacted? *

  Email   Phone  

 
 

It may take a moment to submit your information. Please wait for a confirmation message.

 
Dougherty Orthodontics

Monday: 8:00am - 5:00pm
Tuesday: 8:00am - 5:00pm
Wednesday: 8:00am - 5:00pm
Thursday: 8:00am - 5:00pm
Friday: 8:00am - 5:00pm


Contact Us:


Name:*
Email:*
Phone:*
Comment:*
Copyright © 2018-2022 Dougherty Orthodontics and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap | Links
About Us | Dougherty Orthodontics - Sherman Oaks, CA
Dougherty Orthodontics' foremost intention is developing personal relationships with each patient and their family. Our staff is extremely experienced in handling a multitude of orthodontic treatment types.
Dougherty Orthodontics, 4955 Van Nuys Blvd. Suite 606 Sherman Oaks, CA 91403; (818) 986-6223; doughertyortho.com; 5/26/2022; Related Terms: orthodontist Sherman Oaks CA;