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Appointment Request Form
The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.
Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.
Please note, your submitted date and time is only a REQUEST. Our Team will be in touch soon to confirm the exact appointment details for your upcoming appointment. Thank You
New Patient Information
New Patient? Save time!
Download our patient forms, print them at home & bring them with you on your first visit.
Contact
(301) 663-1700
team@yellowspringsdental.com
Office Location
2100 Old Farm Drive,
Suite 1F
Frederick, MD 21702
Hours
Monday: 9:30AM–6PM
Tuesday: 7AM–4PM
Wednesday: 7AM–4PM
Thursday: 8AM–4PM
Friday: 7AM–3PM