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Make an Appointment

Patient Feedback

Make an Appointment

At Gentech Dentist - it’s all about you! Everything we do is done with your health, comfort and convenience in mind. This is the driving force behind our easy-to-use online Appointment Maker.

The Appointment Maker allows you to receive the appointment date and time that works best for you! Fill out the fields below and send the information directly to your preferred Gentech Dentist. We’ll e-mail you back as soon as possible with a proposed appointment time that will satisfy your schedule.

Fields marked with (*) are required fields.

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Your first and last name*

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Your e-mail address*

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Daytime phone*

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Evening phone*

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First time visitor? If yes, how did you hear about us?

 

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Reason for visit?

 

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Which Gentech office would you like to visit?

 

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Please list two or three target dates for a possible appointment.

 

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Do you prefer morning or afternoon?

 

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Which days of the week are best for you?

 

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday1

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Would you care for an appointment confirmation?

 

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Any Special Requests to make your visit more pleasant?
(i.e.: special instructions for dentist [likes/dislikes, nervousness, etc], specific magazine, type of music, non-alcoholic beverage, pillow, blanket etc.)

 

1special arrangement only