Julianne K. Yoshioka-Wong, DDS - Appointment Request

*Items in bold are required.

Name: Email: Phone:

Are you a current patient? Yes
No

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

Any DayMondayTuesdayWednesdayThursday

Preferred time(s) for an appointment?

Any TimeMorningAfternoon

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

As a courtesy to our patients, our front office will contact you the day before to confirm the date and time of your scheduled appointment.