MAKING AN APPOINTMENT

We consider it a privilege to be your dental health provider. Our practice is committed to your quality care and is pleased to reserve time exclusively for you and your family. We attempt to schedule appointments that are most convenient for you and that fit your schedule.

We respect our patients' time and make every effort to remain on schedule. Some visits are more complicated than initially anticipated, and emergencies may arise that could delay your timely care. If we are significantly delayed, every effort will be made to notify you beforehand so you may choose to come later or reschedule. Similarly, if you are going to be late, we ask that you please notify us. If you are significantly delayed, your scheduled treatment may be modified or you may be asked to reschedule your appointment.

It is our goal to create a schedule that most efficiently provides for the dental needs of all of the patients we serve. Because we reserve time exclusively for each patient, we ask that you make every effort to honor your reserved dental appointment. If you find that you cannot keep your scheduled appointment, we require a minimum 48 hours notification.

We recognize that there are unforeseen circumstances that cause reserved appointments to be missed without 48 hours notice; we certainly want to accommodate for this within our policy.

Request an Appointment

Patient's First Name
Patient's Last Name
Address
City
State
Zip
Home Phone
Cell Phone
Email
First Preferred Date
Second Preferred Date
Preferred Time(s)	Morning Afternoon
Questions or Comments

 

ALL CONFIRMED APPOINTMENTS WILL REQUIRE A 48 HOUR CANCELLATION NOTICE. THIS WILL ENABLE OFFICE STAFF TO PRODUCTIVELY FILL YOUR SPOT WITH A PATIENT IN NEED OF DENTAL CARE. THE FEE FOR MISSING A CONFIRMED DENTAL APPOINTMENT IS $80.00, WHICH MUST BE PAID PRIOR TO RESCHEDULING. ALL APPOINTMENT CANCELLATIONS MUST BE MADE IN DIRECT COMMUNICATION WITH OUR DENTAL OFFICE. TELEPHONE MESSAGE CANCELLATIONS WILL BE ACCEPTABLE ONLY BETWEEN THE HOURS 8 A.M. TO 5 P.M. MONDAY THRU FRIDAY.

IN THE EVENT WE ARE UNABLE TO REACH YOU FOR CONFIRMATION OF YOUR DENTAL APPOINTMENT, WE RESERVE THE RIGHT TO CANCEL YOUR APPOINTMENT IN FAVOR OF ANOTHER PATIENT IN OUR PRACTICE WHO MAY BE IN NEED OF IMMEDIATE CARE.

Waiver on the above policy will be given consideration when appropriate.

Patients under age 18: Children must be accompanied by a parent or guardian, or have a signed parental consent form on file for treatment to be rendered.

Patients over age 18: We request that appointments for our adult patients be personally scheduled by the patient.

Family: Family/Multiple Appointments are limited to 2 appointments per day. (Exceptions for families with outstanding appointment histories may apply.)

If you have any questions, please ask.

© 2015 Fresno Dental Works | All Rights Reserved | Dennis M. Kalebjian, DDS | Roger A. Khater, DDS | Fresno, CA | HIPAA Privacy Notice | Website Accessibility Statement