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Appointment Request

The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.

Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

For Appointments or Information, call us at (425) 228-3420.

Privacy Notice

This form is intended for general appointment requests only. Please do not include sensitive medical information(such as diagnoses, treatment details, medical history, or insurance information) in this form.

By submitting this form, you acknowledge that the information provided will be used to contact you regarding scheduling and may be transmitted electronically. For urgent concerns or to discuss medical details, please contact our office directly by phone.

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