Appointment Request (Form)

 
701.235.3803

Gentle Fargo Dentistry - Jim Lundstrom, DDS

The first step towards a beautiful, healthy smile is to schedule an appointment. We are accepting New Patients and we would love to meet you! Our office has reserved appointment times for New Patients so we are able to schedule your first visit in a timely manner. For Fargo dentistry, please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

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

*Items in bold are required.
Are you a current patient?


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

Preferred time(s) for an appointment?

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.

Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.

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