Appointment Request

Request an appointment by filling out the form below and a member of our team will contact you within one (1) business day. We will make every attempt possible to accommodate your appointment request. We look forward to seeing you soon!

*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.):


Note: Private & highly confidential information should not be sent in this form. Call us directly at (916)331-4781.

Do not use this form to cancel an appointmentPlease contact us directly to avoid any cancellation penalties.


Sacramento Dentist - Laurel Hills Dental - Dental Care Sacramento, CA 95841