WelcomeGeneral DentistryDr. Kirkpatrick ProceduresAppointment RequestPatient Appointment InfoOffice News!Smile GalleryTestimonialsContact
Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. We understand how uneasy some people may feel about dental visits, and work at providing a relaxing and positive experience.  Please contact our dental office by phone at  (423) 870-5301. Jan or Kellie will  help with your all your appointment needs. They can also mail or e-mail new patient paper bundle to be filled out and brought with you to your appointment. PLEASE arrive 15 minutes prior to your scheduled appointment so that Jan or Kellie can review your paperwork and  medical history to help us stay informed of your overall health or any illnesses that may impact you dental health or services.

If you have dental insurance, PLEASE contact your insurance company to verify that your company chose the plan which includes us as a participating Dentist. Due to HIPPA regulations, there are questions that your insurance company will only tell you as the policy holder.

For those of you who like to receive text and e-mails, we now have a reminder service that does this. This will help for those who can not answer the phone all the time for appointment reminders.

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

Items in bold are required.
Are you a current patient?
Best time(s) to call?
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.

Please call our office for an appointment and we will either email or mail you the required forms to be filled out. (423) 870-5301  We will not call your insurance company to verify your coverage. This is the policy holder's responsibility.