Appointment Request

Appointment Form If Needed For Your Convenience

Please provide a few details and our scheduling coordinator will contact you directly to schedule a complimentary consultation.

Please note this form is for requesting a new patient consultation. If you need to cancel or reschedule an existing appointment please contact our office directly.

Gass Orthodontics
752 Goodpasture Island Rd.
Eugene, OR 97401

Phone: (541) 687-1161
Fax: (541) 344-9188
Email: gassortho@comcast.net

Hours: Monday – Thursday
7:30a.m. – 4:00p.m.
Occasional Fridays

New Patient Appointment Request Form

 

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