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(866) 906-3059

General Info: (330) 633-7141

Chapel Hill Dental Care

1690 Brittain Road
Akron, OH 44310

Appts: (866) 906-3059

 

New Patients - Make an Appointment Online

 

Just complete the following form and one of our team members will contact you as soon as possible to schedule a convenient time for your first appointment.

New Patient Appointments

Title & First name     
Last name
Middle initial
Street address
Address (cont.)
City
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Zip/Postal code
Work phone
Home phone
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Best time is
How did you hear
about us?		     
FAX
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Referred by (e.g., Mrs. Jones)

We respect your email privacy. We promise to never sell, barter or rent your email address to any unauthorized third party.  Please be aware that the information above will be sent via email and/or fax.

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