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

Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Dr. Auvinen & Dr. Jacobs
Phone: 715.682.2811
615 West Lake Shore Drive
Ashland, WI  54806

615 Lake Shore Drive West |Ashland, WI 54806|MAP & Directions|715-682-2811
PO Box 656|Ashland, Wi 54806|MAP & Directions