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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

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