Request an Appointment

Congratulations, you’re one step closer to getting that perfect smile! At WestClay Orthodontics we try and make it as convenient as possible to get your consultation scheduled. You can schedule online with our automated scheduler, call us, or just fill out the form below and we will call, text, or email you back to get you scheduled. We can wait to meet you!

"*" indicates required fields

Patient Name*

Patient Date of Birth*

Parent Name

Full Address*

Phone*

Email*

Preferred Contact Method*

How Did You Hear About Us?*

Internet / Google Search

Facebook/Social Media

Website

Referral

Drive-By Practice

Other

How Can We Help?*

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

Office Hours

Mon-Tue: 9 – 4
Wed: Closed
Thu: 10–6
Fri: 9–5

Request an Appointment

Call Our Office

Visit Our Office

Email Our Office

Office Hours

Our Office