Appointment Request

Call (425) 337-3000

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 note that in order for you to be contacted, we will need you to provide your phone number.

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


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.):

Please note that in order for your appointment to be confirmed, we will need you to provide your phone number. 

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

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