Patient Forms

How happy are you with the following:

Customer Service:

Assistance with billing issues/insurance plans     Excellent     Good     Fair     Poor     N/A     Comment

Ease and availability of making appointment     Excellent     Good     Fair     Poor     N/A     Comment

Team was friendly and courteous                      Excellent     Good     Fair     Poor     N/A     Comment

Waiting time in reception area                          Excellent     Good     Fair     Poor     N/A     Comment

Politeness and professionalism of phone            Excellent     Good     Fair     Poor     N/A     Comment
conversations and confirmations

Experienced Dental Care

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P: 530-666-3657 Appointment Request
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