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Book an appointment at Old Hook Dental

The quickest and simplest way to schedule an appointment is by calling us at (201) 358-5005.

Online appointments can be requested by filling out the form below

** Please Note : your appointment is not considered scheduled until we have confirmed it with you by phone.
** Your requested time may not be available.

Old Hook Dental online appointment request form:

Patient Name:**

First

Last

Phone Number:**

Area Code

-

Phone Number

Appointment request:**

Date of appointment xx/xx/xxxx Time of appointment x:xx am / x:xx pm

E-mail:**

Do you have Dental Insurance? If yes please list the name of your Insurance Carrier. If no write "none" in box below**

Please briefly tell us the reason for your appointment: (if this is a dental emergency, please call ASAP, if our office is closed please visit the nearest emergency room) **

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