Dentist Peru Appointment Request

Need an appointment with a dentist in Peru? Requesting an appointment at our Peru, IN family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with Dr. Melody Richardson today!


We accept Care Credit, Visa, Mastercard, Debit Cards and Most Dental Insurance Plans.


We are providers for most insurance companies. Please contact our office to confirm that we accept your insurance. 



*Please note that evening appointments are not available at this time.* 

Patient Information (* denotes fields that are required)
Patient Name*
Phone Number*
Email Address
Are you a current patient?
No Yes
Best time(s) to call?
Morning Noon Afternoon Evening
Appointment Information
Preferred Appt Date
Preferred Appt Time
Describe the nature of your appointment or any other comments