Contact Us Request An Appointment Home » Contact » Request an Appointment Please note that we will do our best to accommodate your requested day/time of appointment and filling out this form does not schedule your appointment. We will call you back to schedule your appointment. Is there a specific date that you would prefer? Date Format: MM slash DD slash YYYY What day of the week would you like to come in?MondayTuesdayWednesdayThursdayWhat approximate time do you prefer? : HH MM AM PM Which is more flexible for you?MorningAfternoonAnyWhich doctor would you like to see, or is this request for hygiene?Dr. Thomas Baumgardner, DMDHygieneName* First Last Email* Phone*Please describe the nature of your appointment request:*CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.
