1Select Procedure and Date
2Select Duration
3Payment
4Patient Info
5Medical History
6Confirmation

Welcome to Online Scheduling

Thank you for choosing PDAA! Please do not exit the webpage until you’ve reached "Online scheduling complete!" screen. We will collect your preferred payment method, child's procedure information, and child’s medical history on the following screens. Please enter in the information accurately.

Procedure Date^*

Your Name^*

Your Email^*

Your Phone^*

Patient Name^*

We recommend checking this box to ensure you receive important scheduling updates and reminders by text.

By checking this box, I consent to receive text messages related to appointment reminders, scheduling, and rescheduling confirmations, follow-up messages, account status notifications messages from PDAA. You can reply STOP to opt out at any time. Messages and data rates may apply. Message frequency will vary. Reply HELP to include your business phone number for assistance. For more information, refer to our Privacy Policy and SMS Terms and Conditions on our website.

Please email [email protected]
with your child’s name, phone number and dentist.
We will send you the scheduling forms electronically.

Thank you!

Please email
[email protected]
with your child’s name, phone number and dentist.

We will send you the scheduling
forms electronically.

Thank you!