David L. Scarbrough, DDS, LLC
Call: (660) 686-2566

Appointment Request

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 bring your insurance card and a list of all medications.** 

Please do not use this form to cancel or change an existing appointment.

Office Hours:

Mon: 8:00 - 5:00

Tues: 8:00 - 5:00

Wed: Closed

Thurs: 8:00 - 5:00

Fri: 8:00 - 5:00

*Items in bold are required.
Are you a current patient?

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

Preferred time(s) for an appointment?

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.