Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

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What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

How do you prefer to be contacted? *

  Email   Phone  

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Dentist Albany, OR • About Calapooia Family Dental
Calapooia Family Dental in Albany, OR, wants our patients to feel comfortable and content during their appointments with us. Call to learn more today (541) 936-9222.
Calapooia Family Dental, 1070 24th Ave SW, Albany, OR 97321 ^ (541) 936-9222 ^ calapooiafamilydental.com ^ 4/18/2026 ^ Associated Words: dentist Albany OR ^