Appointment Request | Whittier, CA

(562) 945-1149

~Welcome~

The first step towards a beautiful, healthy smile is to schedule an appointment. 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.

Name:
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:

Are you a current patient?

YesNo

How did you hear about us?

Best time(s) to call?

MorningNoonAfternoonEvening

Which office location(s) would you prefer for your appointment?* Whittier 7927 Painter Avenue

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

Any DayMondayTuesdayWednesdayThursday

Preferred time(s) for an appointment?

Any TimeMorningNoonAfternoon

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.

New Patients or to update your Health History Forms can be obtain and printed by clicking on the Patient Forms bar on the top of main page

Our Office Information

Roy H. Chang DDS

7927 Painter Ave Suite #100

Whittier, CA. 90602

Office 562- 945-1149

Hours of business

Monday 8:30-4:30 Lunch 12:00-1:30

Tuesday 8:30-4:30 Lunch 12:00-1:30

Wednesday 7:30-12:30

Thursday 8:30-4:30 Lunch 12:00-1:30

Friday Closed

Saturday Closed

Sunday Closed

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