Appointment Request Form

For returning patients only, click the button to schedule your appointment. New patients, please use the form below to request your appointment.

Returning Patients

New patients, please use the appointment request form to schedule your appointment at Renae Wilson, DDS

To request an appointment, please fill out our appointment request form located below. This will let us know what day and time works best for you. One of our team members will get in touch with you to confirm your appointment and answer any questions that you might have.

Name*
First Last
Phone*
Email
I am interested in:*
- A visit with the hygienist
- A visit with the dentist
If flexible, please choose a date range:*
Do you have any special considerations?

619-650-6856

619-588-2420

275 W Madison Ave, #B

Monday - Thursday

Appointment Request Form

New patients, please use the appointment request form to schedule your appointment at Renae Wilson, DDS