Excellence in Care

Call: 503.648.3125

4440 NE Cornell Rd.
Hillsboro, OR  97124

Appointments

At Hillsboro Dental Center, we work hard to fit our services into your schedule. That's why we're providing the easy-to-use "Request an Appointment" form below. Simply let us know when you'd like to visit us, along with a little information about yourself, and we'll contact you at your convenience to complete your scheduling. We can also email you a confirmation of your appointment.


Request an Appointment Online


* Required Fields

* Name

Daytime phone

Evening phone

* Email address


I am a:
New patient     Existing patient

When is the last time you visited the dentist?
Less than 6 months ago.
Between 6 and 12 months ago.
More than 12 months ago.

How/when should we contact you?



What time of day is most convenient for you to talk with us?
Daytime (between 9am and 4pm)
Evening (after 4pm)

How would you like us to respond to you?
Via phone     Via email

Scheduling



The nature of my appointment, to the best of my knowledge, would be (select all that apply):
Tooth pain
New patient exam
Cleaning/check-up
Child's appointment
Consultation on a special procedure
Consultation for insurance and financing options

Age of person we'll be seeing:  

Request Date/Time (Exact time/date may not be available)



I would like to request an appointment on the following day
      Time (between 8am and 4pm):   (example: 12:30pm)

Second choice (if time above isn't available)
      Time (between 8am and 4pm):   (example: 12:30pm)

Comments/special requests


  

Excellence in Care — Call: 503.648.3125
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