REQUEST AN APPOINTMENT
Appointment Form
The first step toward achieving a beautiful, healthy smile is to schedule an appointment.
To schedule an appointment, please complete and submit the appointment request form. Our scheduling coordinator will contact you soon to confirm your appointment.
- Please note this form is for requesting an appointment.
- Please contact our office to schedule an appointment at
(530) 823-8771. - Do not use this form for emergencies or to cancel appointments. If you need to cancel or reschedule an appointment, please call the office.
- Do not submit personal health information on this form.
