Alan L. Ross, D.M.D. - Cosmetic and Family Dentistry

Call us at 860-489-1234 for an immediate response.
For after hours emergency care you may reach Dr. Ross on his cell phone
860-480-0819 (usually available from 8:00am to 9:00pm).
Request an appointment online by completing the form below; our office staff will be in touch to confirm.

APPOINTMENT REQUEST FORM

* = required fields

Our operating hours are:

Monday: 9:00am to 7:00pm
Tuesday: 8:15am to 6:00pm
Thursday: 8:15am to 6:00pm
Wednesdays & Saturdays by request

Within those guidelines, please select three options for an appointment:

(Click the calendar icon for ease of selection.)

First Choice

Time:
Date:

Second Choice

Time:
Date:

Third Choice

Time:
Date:

Reason for the Appointment
(such as broken tooth, need a cleaning, receding gums, missing teeth, implants,
cosmetic improvement etc)

*Name

Patient Type

New Returning

*Phone

Best Time to Call

*Email

Who else in your family needs a dental appointment?

Spouse/
Significant Other

New Returning

Child

New Returning

Child

New Returning

Child

New Returning

ALAN L. ROSS, D.M.D., P.C.
469 Prospect Street
Torrington, CT 06790
860-489-1234

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