SET AN APPOINTMENT
Please complete the following form. Then press "submit" once to send your request to Wendel Family Dental. We will contact you within 48 hours to confirm/coordinate your appointment.
Patient Info
Last Name
First Name
Middle
DOB
Billing Info
Last Name
First Name
Middle Name
Address
City
State
Zip
Daytime Phone
Evening Phone
Email Address
Insurance
Subscriber #
Group #
Employer Name
Appointment Info
Doctor
Select a Doctor
Dr. Roger J. Wendel, D.M.D.
Dr. Dennis G. Perala, D.M.D.
Dr. Kristine Pham, D.M.D.
Dr. Matthew A. Haehlen, D.M.D.
Dr. Jo Ellen Winston, D.M.D.
Dr. Danial K. Vaught, D.D.S.
Dr. Geetika Chawla
Dr. Kirk M. Shillinger, D.D.S.
Dr. Robert Janisse, D.D.S.
Dr. Alberto Ambard, D.D.S.
Dr. Darius Arlauskas, D.M.D.
Dr. Paul Marshall, D.M.D.
Dr. Peter Vu, D.D.S.
Location
Select a Location
Hiddenbrook
Vancouver (Main)
Salmon Creek
Appt. Dates and Times:
Please list three preferences
1
Mon.
Tues.
Wed.
Thurs.
Fri.
Time
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First Available
9am - 10am
10am - 11am
11am - 12pm
12pm - 1pm
1pm - 2pm
2pm - 3pm
3pm - 4pm
4pm - 5pm
Last Available
2
Mon.
Tues.
Wed.
Thurs.
Fri.
Time
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Before
After
At
Select Time
First Available
9am - 10am
10am - 11am
11am - 12pm
12pm - 1pm
1pm - 2pm
2pm - 3pm
3pm - 4pm
4pm - 5pm
Last Available
3
Mon.
Tues.
Wed.
Thurs.
Fri.
Time
Select
Before
After
At
Select Time
First Available
9am - 10am
10am - 11am
11am - 12pm
12pm - 1pm
1pm - 2pm
2pm - 3pm
3pm - 4pm
4pm - 5pm
Last Available
Reason for Appointment
(example - routine cleaning; toothache; root canal, etc.)
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