ADA Accessibility Information
Accessibility

A
A

A
Mt Hood Dental Clinic Sandy logo2

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: *

Have you visited our office before? *

Yes No  

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:

 

Confirmation

How do you prefer to be contacted? *

  Email   Phone  

 
 

It may take a moment to submit your information. Please wait for a confirmation message.

 
Calendar icon Simplified calendar with two rows of four day squares
Hours
Mon
Tues
Weds
Thur
7am to 4pm
7am to 4pm
7am to 4pm
7am to 4pm
Copyright © 2013-2023 Mt. Hood Dental Clinic - Dr. Jeremy Kato and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap
About Us | Mt. Hood Dental Clinic | Sandy, OR dentist
Your first step to a healthier, more beautiful smile is just a phone call away! Call to schedule an appointment for you or a family member today!
Mt. Hood Dental Clinic - Dr. Jeremy Kato, 39880 Pleasant St., Sandy, OR 97055-6557 • (503) 668-6226 • mthooddentalclinic.com • 5/28/2023 • Key Phrases: dentist Sandy OR •