Confirm Appointment

To better serve our patients, we allow our patients to confirm a scheduled appointment with one of our providers by completing and sending this simple form below.

If for any reason you cannot keep your scheduled appointment, have a dental emergency, or require immediate attention,, please call our office at (607) 797-5932.

We ask that you please call us at least 48 hours in advance to reschedule or cancel your appointment.

Required Information*:

Name*:

Appointment Date*:

Appointment Time*:

Email Address*:

Phone Number 1*: Home Work Cell

Phone Number 2: Home Work Cell

How do you prefer we contact you?

What is the best time to contact you?

Please enter your text message here.

Please press submit only once, depending on your internet service provider you may experience a 3-5 second delay to process your request.
 
 
   
 
© 2009-11 Silvestri Dental & Associates  •  501 Plaza Drive  •  Vestal, NY 13850  •  (607) 797-5932 Site Map