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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.

Our office hours are Tuesday-Thursday 8:00am-5:00pm and Friday 8:00am-3:00pm.

Our office will call you the day before your appointment for confirmation.  If there is no answer, we will leave a message for you to call our office back. You need to call us as soon as possible to confirm that you will be here or to reschedule your appointment. If your cell phone doesn't have service or you have provided us with a message phone number, it is your responsibility to call us to confirm your appointment. If we do not get confirmation before the office closes for the day, your appointment may be removed from the schedule.

If you have an appointment  the doctor expects you to be on time.  If you are 15 minutes late you will be rescheduled.  Dr. Swink goes by his clock.

 


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.):

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