Appointment Request

Eugene Dental Appointment Request - Tyler D. Clark DMD, PC

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.

Requests are checked daily

New Patients: After submitting request click here to get the new patient forms that can be completed prior to your first exam.

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


Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.