Request an Appointment

At Sepehri Dental, we work hard to fit our services into your schedule. That's why we're providing the easy-to-use "Request an Appointment" form below. Simply let us know when you'd like to visit us, along with a little information about yourself, and we'll contact you at your convenience to complete your scheduling. We can also email you a confirmation of your appointment…

If you need to cancel an appointment, we ask that you give us at least 48 hours notice. If you're a new patient, we'll start by scheduling you for a New Patient Exam, which includes a complete oral evaluation (with necessary x-rays), cancer screening and doctor consultation. We look forward to seeing your smiling face soon!

  • Please allow 24-48 hours for our response. We cannot guarantee that all scheduling requests will be fulfilled; if the requested time is not available, we will suggest alternate (but similar) time slots. If you are experiencing a dental emergency, do not use this form - call us immediately.
  • We keep any information submitted through this site in the closest confidence; we do not share or sell any part of it. Measures have been taken to protect the privacy of your information (using industry standard security technology), and to prevent the spread of spam and other unwanted correspondence.

Request an Appointment Online

Phone:
(503) 574-4000

Office hours:
9 AM — 6 PM
Monday, Tuesday and Thursday

10 AM — 5 PM
Wednesday - administration only

9 AM — 5 PM
Friday

Contact Info




I am a:
New patient Existing patient

When is the last time you visited the dentist?
Less than 6 months ago.
Between 6 and 12 months ago.
More than 12 months ago.

How/when should we contact you?

What time of day is most convenient for you to talk with us?
Daytime (between 9am and 4pm)
Evening (after 4pm)

How would you like us to respond to you?
Via phoneVia email

Scheduling

The nature of my appointment, to the best of my knowledge, would be (select all that apply):
Tooth pain
New patient exam
Cleaning/check-up
Child's appointment
Consultation on a special procedure
Consultation for insurance and financing options
Appointment for existing treatment needed

Age of person we'll be seeing

I would like to request an appointment on the following day

Time (between 8am and 4pm):
(example: 12:30pm)

Second choice (if time above isn't available)

Time (between 8am and 4pm):
(example: 12:30pm)

Comments/special requests