Dentist Salt Lake City Appointment Request

Need an appointment with a dentist in Salt Lake City? Requesting an appointment at our Salt Lake City, UT family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile at Meadowbrook Dental today!

 

Download New Patient Forms

If you will be making your first visit to our office, please click here to download and print out new patient registration forms. We kindly ask that you fill these forms out prior to your initial visit!

 

*NEW* ONLINE PAYMENTS! 

You can now make payments online. Register at www.patientpaycenter.com and use office statement code: 3RV3CA.  We must have up to date information in your patient file to register.

 

Please call us if you need to update your information.

 

Follow Us On Social Media! 

Keep up on the latest contests, pictures, and trivia by following us on Facebook, Twitter, and Instagram!

 

    

Patient Information (* denotes fields that are required)
Patient Name*
Phone Number*
Email Address
Are you a current patient?
No Yes
Best time(s) to call?
Morning Noon Afternoon Evening
Appointment Information
Preferred Appt Date
Preferred Appt Time
Message
Describe the nature of your appointment or any other comments