Appointment Request

The first step towards excellent Oral surgery and Maxillofacial care 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.

Appointment requested for:

Sandy Office
1434 East 9400 South Ste 102
Sandy, Utah  84093

Heber Office
160 South 100 West
Heber, Utah  84032

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