AppointmentsReason for appointmentAdult New Patient Exam and CleaningAdult Existing Patient Exam and CleaningChild New Patient Exam and CleaningChild Existing Patient Exam and CleaningEmergency VisitOtherPlease let us know when you would prefer to have your appointment. Our hours are Monday – Thursday, 8:30 am – 4:30 pm and Saturdays by appointment. We will do our best to accommodate your busy schedule.Preferred Date MM slash DD slash YYYY Preferred Time8:309:3010:3011:3012:301:302:303:30Patient Type New Patient Returning PatientName First Last PhoneEmail Best time to be reached for confirmation8:30-9:009:00-9:309:30-10:0010:00-10:3010:30-11:0011:00-11:3011:30-12:0012:00-12:3012:30-1:001:00-1:301:30-2:002:00-2:302:30-3:003:00-3:303:30-4:004:00-4:30Comments – please add any other information that may be helpful regarding your visit.We will contact you no later than the next business day to schedule your appointment. Thank you for your interest in Bachtell Dentistry. We look forward to meeting you!PhoneThis field is for validation purposes and should be left unchanged.
