Making an Appointment
It's easy to make an appointment by calling
208.466.2456
or by filling out and submitting the form below.
Office Hours
Starting June 4th, 2007
Monday - Thursday
7:00am-7:00pm
Friday
7:00am-5:00pm
Saturday
7:00am-1:00pm
Please complete the form below to schedule an appointment.
Information about the appointment:
Patient First Name:
Patient Last Name:
Responsible Party (if not patient):
Patient Email Address:
Patient Phone Number:
1st Choice Appointment Date:
1st Choice Appointment Time:
2nd Choice Appointment Date:
2nd Choice Appointment Time:
I am interested in
Sedation Dentistry
I am a New Patient to Today's Dentistry.
First Time Appointments
In order to add convenience and speed to the process for new patients of Drs. Kim Keller and Amelia Justin, we are providing the necessary forms available for download and completion at home. Print them and fill them out at your convenience before coming by the office. If you have any questions, concerns or want us to send you the forms by mail, please feel free to
Contact Us
.
Patient Information Form
Health History Form
If you unable to view PDF files on your computer, you can download
Adobe Acrobat Reader
free directly from Adobe.
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