Dentist Citrus Heights Appointment Request

Need an appointment with a dentist in Citrus Heights? Requesting an appointment at our Citrus Heights, CA family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with Dr. Kevin Chang today! Friday appointments are available!

 

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

Patient Information (* denotes fields that are required)
Patient Name*
Phone Number*
Email Address
Are you a current patient?
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Best time(s) to call?
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Appointment Information
Preferred Appt Date
Preferred Appt Time
Message
Describe the nature of your appointment or any other comments