Schedule a procedure with Dr

Online booking for a treatment visit with Dr. Wasserstein.

This form is for an existing patient with a current treatment plan


Preferred appointment time:

What procedure are you scheduling for, we will research your treatment plan for the specific areas and treatment:
  •  Dental implants
  •  Gum Surgery
  •  Gum grafting
  •  Crown lengthening
  •  Other Please specify below
  • other:

Will your procedure be performed with IV conscious sedation?  YES

If you selected yes for sedation, please remember not to eat or drink at least 6 hours before your scheduled appointment. It is ok to take any prescribed medications but only with enough water to swallow the pill(s). Please let us know if you have taken any medications within 48 hours of your appointment.

Account number (optional):

First Name (required):

Last Name (required):

Email (required):

Phone (required):


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Jack Wasserstein, DDS