Call or e-mail us if you have questions or need additional information. To request an appointment, use our convenient request for below.

Auburn Office
701 M St NE Ste 104
Auburn, WA 98002
Phone: 253-833-9063
Fax: 253-833-9197
www.doctorpav.com

E-mail: info@doctorpav.com

Appointment Request

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 will contact you to confirm your appointment.

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

*Items in bold are required.

Name:

*

Address:

City:

State:

Zip:

Email:

Phone:

*

 

Are you a current patient?

Yes

No

 

Best time(s) to call?

Morning

Noon

Afternoon

Preferred day(s) of the week for an appointment?

Any Day Mon Tue Wed Thur

Preferred time(s) for an appointment?

Any Time

Morning

Noon

Afternoon

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 confidential or private information.

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