Appointment Request

Your Fairview Dentist, Dr. Touhey, knows that the first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our Fairview Family & Cosmetic Dentistry by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact Dr. Touhey, your Fairview Park Dentist, at his Fairview Park Dental Office by telephone if sending highly confidential or private information.

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