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Santa Barbara Dentist Appointment – Santa Barbara Dental Care

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator Paula will contact you to confirm your appointment within 24 hours.

Having a dental emergency and want an appointment soon? Please call as early in the day as possible and we will schedule you an emergency visit.



Please do not use this form to cancel or change an existing appointment.

 


Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):
 
 

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.