Schedule an Appointment

The LCC Willamette Dental Clinic will no longer be providing dental services, if you are interested in dental hygiene services, please use this form to request a complimentary appointment.

To request an appointment, please contact our office by phone at (541) 463-5206 or complete the appointment request form below. We will contact you to confirm your appointment.

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

Address
Best time(s) to call
Do you have dental insurance?
Preferred day(s) for an appointment
Preferred time(s) for an appointment
Note: Please do not include any specifics of your health or dental issues. Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.