Request an Appointment - Comprehensive Care Clinic

To request an appointment or more information, pleaseĀ fill out the form below. Please do not submit sensitive information through this form.

Patient First Name
Patient Last Name
Has patient received care at Tufts Dental School before?
Are you requesting appointment on behalf of someone else?
Request Details
What is the best time(s) to call you?
Do you want to receive our clinic newsletter?
IMPORTANT! Please do not share sensitive personal information through this form.