Call: (206)780-4111

Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?


Which office location(s) would you prefer for your appointment?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Testimonials



"Thank you for the excellent care that I received during my oral surgery. Obviously one gets anxious but I know that I am in good hands. I have been totally pain free ever since."

Keith

Thank you for your wonderful professional caring manner - and for taking a few minutes to want to know me. I'll know exactly where to go in the future without the anxiety!

Pat L.

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