Molars Dental Clinic > Insurance Partners

Insurance Partners

BRUSH HOUR TIME SELECTION FORM

Please select the best time for you, for a “Brush Hour” session by choosing one of the options below.

- Name*
  First Last
- Phone*
- Email*
Choose Your Brush Hour Session*
- 9:30 – 11:00 a.m Brush Hour
- 11:00 – 12:00 p.m Brush Hour
- 12:00 -1:00 p.m Brush Hour
- 1:00 – 2:00 p.m Brush Hour
- 2:00 – 3:00 p.m Brush Hour