Dr. Herbert Kanter
Buffalo Grove Oral & Maxillofacial Surgery, PC
Excellence in Oral Surgery Care
Call: 847-259-8883

Appointment Request

The first step is to schedule an appointment for a consultation. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. 

 

Note:  Please bring in your medical and dental insurance card, the doctor's referral slip and any recent x-rays that you may have at the time of your appointment.

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?


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.