Julianne K. Yoshioka-Wong, DDS - Appointment Request

*Items in bold are required.

Name: Email: Phone:

Are you a current patient?

Yes

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.