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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.

If you are a new patient, please fill out the following questionnaire along with the appointment request: 

New Patient Questionnaire


Patient Information

Patient Availability

Reason For Visit

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

1169 Hilltop Pkwy, Unit 203|Steamboat Springs, CO 80487|Map & Directions

Call: 970.871.0033