Guenthner Larson Kim
Patient Login
Doctor Login
About Our Office
Meet the Orthodontists
Meet the Team
Office Tour
Office Policies
About Orthodontics
For Children
For Adults
Orthodontic Treatments
Resources
Braces 101
Types of Appliances
Retainers
Orthodontic Technologies
Invisalign
®
SureSmile
Emergency Care
FAQ
The Game Room
Contact Us
Location
Comment Form
Refer a Friend
Appointment Request
Home
Appointment Request
Brent E. Larson, DDS, MS
Terry A. Guenthner, DDS, MSD
Nellie Kim-Weroha, DDS, MS
401 16th Street, SE
Rochester, MN 55904
P. 507.288.4427
F. 507.288.8497
Appointment Request
Full Name
Address
Day-Time Phone Number
Alternate Phone Number
Email Address
I would like to (choose one):
Schedule a new patient appointment
Schedule a routine appointment
Schedule a comprehensive exam
Reschedule an appointment
Not sure (For example: My teeth hurt and I need to see the doctor.)
Are you currently a patient with us?
Yes
No
If you are a new patient, where did you first hear about the practice?
From a Friend
Yellow Pages
Your Web Site
Through a Search Engine (Google, Yahoo!, etc.)
Other
Additional Information:
Verification Code
(case sensitive):
Back to Top