Appointment Request

Appointment Request for Dr. Scott L. Theurer and Dr. Brad C. Theurer

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office in Logan, UT, by phone 435.752.2230 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

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

*Items in bold are required.

Name: Please enter your name Email: Invalid Email address Phone: Please fill in phone or email address!

Are you a current patient?

Yes

How did you hear about us?

Which office location(s) would you prefer for your appointment?

Logan 1340 North 600 East

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

Any DayMondayTuesdayWednesdayThursday

Preferred time(s) for an appointment?

Any TimeMorningNoonAfternoon

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.

Office Location

Logan
1340 North 600 East
Suite 1

Logan, UT

84341

Map & Directions

Call: 435. 752. 2230

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