Request a Recare/Recall Appointment Now

Call For An Appointment Now! (503) 769-3246

For Current Patients of Santiam Smile Design

Please provide us with the following contact information.

We will contact you shortly to schedule an appointment at Santiam Smile Design.

If this is a dental emergency, please call (503) 769-3246 or dial 911.

*Title: Mrs. Mr. Ms.

*First name:

Middle initial:

*Last name:

I like to be called: (Sample: Mrs. Jones or Jennie)

*Email:

Work or cell phone:

*Home phone:

Fax:

Call me: at either phone at home at work or cell

The best time is:

Do you have an immediate concern?

Would you like to subscribe to our newsletter?

 

Our email policy - We promise never to sell, barter or rent your email address to any unauthorized party.

Please be aware that the information above will be sent via email.

Financial Arrangements

Our goal is not to let expense prevent you from benefiting from the quality of care you desire and need.