Appointment Request

Patient Status

New Patient Existing Patient

First Name

Last Name

Patient's Name (Child)

Patient's Date of Birth

Phone

How should we reach you?

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Anything you want us to know?

How did you hear about us?

Thank you for your interest in visiting us!

You can request an appointment with us using our form or by calling our front desk.

Han Orthodontics

6850 Brockton Ave., Suite 103
Riverside, CA 92506

[email protected]

(951) 686-5301

Monday 9:00 AM - 6:00 PM

Tuesday 9:00 AM - 6:00 PM

Wednesday 7:30 AM - 5:30 PM

Thursday 8:00 AM - 4:00 PM

Next, register online for your visit!

After you have submitted an appointment request, fill out our new patient registration form. This can help you save time and make sure you have all the necessary information for a smooth visit.

Appointment Request