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Capitol Hill Dental Clinic
Dr. William Wong and Dr. Cindy Fong
Creating Beautiful Smiles

線上預約服務 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.

線上預約服務

這是您向美麗、健康微笑踏出的第一步。如需作網路線上預約,請填寫以下申請表,我們的服務人員將與您聯繫。

此網頁僅供預約申請;如欲取消您的預約,或更改時間,請來電與我們聯繫。謝謝!

*Items in bold are required.
Are you a current patient?


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.):

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

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