J. Darrel Jensen, DDS
Creating Beautiful Smiles
Call: (206) 284-0566

Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please complete the appointment request form below. Our scheduling guru will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment. Instead, email us directly or give us a call.

Please indicate preferred method of contact (i.e. phone, text, email, etc.).

*Items in bold are required.
Are you a current patient?


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

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Please indicate preferred method of contact (i.e. phone, text, email, etc.).

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

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Office Location

  • Seattle
  • 812 5th Avenue North Suite 4
  • Seattle, Washington
  • 98109
  • Map & Directions
  • Call: (206) 284-0566