Insurance Follow Up

Orthodontic Consultation Request

Hello! It's nice to meet you!

Looking for a trusted and experienced orthodontist? You're in the right place!

Dr. Tsintolas is a Specialist in Orthodontics and Dentofacial Orthopedics.

He diagnoses, prevents, intercepts, and corrects misaligned teeth and jaws.
He uses braces, Invisalign, and other appliances to improve function and enhance dental and facial aesthetics for children, teens, and adults.
He is trained and experienced in dental development. Along with the American Association of Orthodontists, he recommends an orthodontic evaluation by age 7.

Need a dental cleaning or routine dental exam? Experiencing tooth pain? A general dentist, not an orthodontist, is the right choice for you.

Need a different dental specialist? Please seek care from the appropriate provider:

periodontist (gum disease)
oral surgeon (dental surgery, tooth extractions)
endodontist (root canals)
prosthodontist (crowns, bridges, dentures)

Before you begin...

If you are a current or returning patient or have previously visited or contacted our office- this form will not meet your specific scheduling needs. Please call 301-948-7513, option 2 and let's talk!
Let's start with YOU ...
MissMs.Mrs.Dr.Mr.
My First Name*
My Last Name*
My Phone Number*
Please enter a valid phone number.
My Email Address*

Confirmation Emailexample@example.com
myselffor someone elsemyself AND someone else
My Birth Date.*

MonthDayYear
Date
femalemale
my childmy spouseother
my childmy spouseother
First Name*
Last Name*
Birth Date*

MonthDayYear
Date
femalemale
yesno
my childmy spouseother
First Name*
Last Name*
Birth Date*

MonthDayYear
Date
femalemale
yesno
my childmy spouseother
First Name*
Last Name*
Birth Date*

MonthDayYear
Date
femalemale
patient's dentista dentist other than the patient's dentista family membera friendmy insuranceinternet searchonline reviewsother
Why are you seeking an orthodontic consultation? How can we help you? Please be specific.*
We will call you no later than our next business day to arrange an orthodontic consultation.

Please call the office if you don't hear from us, 301-948-7513, option 1.

Once you click SUBMIT, your consultation request will be sent to Dr. Tsintolas, a confirmation screen will appear, and you'll receive a confirmation email.

Thank you!
This form cannot confirm or cancel appointments, send messages, request non-consultation appointments, or report urgencies or emergencies. Please call 301-948-7513, option 2 for assistance.
Should be Empty:

Orthodontic Consultation Request

Let's start with YOU ...