Appointments | Children's Dentistry of San Diego

Please use this form for non-urgent requests ONLY. DO NOT SEND personal health information through this form. If you are a patient of records experiencing a true dental emergency, please call or text 858-536-1111. For non-established patients needing immediate care, please contact urgent care or the ER.

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Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!
Parent Name*
Patient Name*
Phone*
Email*
Preferred Date*
MM slash DD slash YYYY
Preferred Time
Nature of Visit
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