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Current Patients

If you are a current patient please fill out this quick and easy form and let us know your first, second and third choice for your appointment. Be sure to include any questions you may have and we’ll be happy to answer them!

We do our best to monitor appointment requests as frequently as possible. If this is a dental emergency and you are in need of a same day appointment please CALL our office for immediate assistance. 715-381-9785 or 715-688-3110.

Thank you for choosing Purdy Family Dentistry.

Hudson 715-381-9785
Baldwin 715-688-3110

Are you an existing patient(*):
 Yes
 No

(If No, please call our office to set up your initial appointment)

First Name(*):
Last Name(*):
Email(*):
Phone(*):
1st Choice(*):
2nd Choice:
3rd Choice:
Time:
Reason:
Choose Location(*):
 No Preference
 Baldwin
 Hudson

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