Complete Health Dentistry
With a
Personal Touch
7101 E. Thomas Rd | Scottsdale, AZ 85251
CALL 480-947-3004
TEXT 480-276-3300
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.
Items in
bold
are required.
Name:
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Yes
No
How did you hear about us?
Best time(s) to call?
Morning
Noon
Afternoon
Evening
Which office location(s) would you prefer for your appointment?
*
Scottsdale 7101 E. Thomas Road
Preferred day(s) of the week for an appointment?
Any Day
Tuesday
Wednesday
Thursday
Friday
Preferred time(s) for an appointment?
Any Time
Morning
Noon
Afternoon
Evening
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):
Do not fill this textbox.
ACCESSIBILITY