Appointment Request

Request An Appointment At Your Tulsa Family & Cosmetic Dentistry

Serving patients in Tulsa, Sapalupa and Utica Square.

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 indicate in the message box if you wish to see Dr. Wood or Dr. Weilacher.

Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.

Name: Email: Phone:

Are you a current patient? Yes
No

How did you hear about us?

Which office location(s) would you prefer for your appointment?

Tulsa 3520 East 31st Street

Preferred day(s) of the week for an appointment?

Any DayMondayTuesdayWednesdayThursdayFriday

Preferred time(s) for an appointment?

Any TimeMorningNoonAfternoonEvening

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information. Please indicate in this area if you desire to see Dr. Wood or Dr. Weilacher. We look forward to serving your needs.

C. Reiger Wood DDS Inc.

Phone: (918) 742-2488

Url: http://www.drrwood.com/

3520 East 31st Street

Tulsa, OK 74135

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