Appointment Request.

We want scheduling a dentist appointment to be easy and fast. Our online form allows you to get the message to our staff on your time.

Please fill out the form below then click “Submit.” Our staff will contact you soon to schedule an appointment. If you prefer to schedule an appointment over the phone, or if this is an emergency request, call us at (608) 274-9077. Please do not use this form for emergencies or to cancel or change an existing appointment. Please call the office to do so.

Affiliated Dentists