Request an Appointment

The Fort Union Dentist, based in Midvale, serves the dental needs of Cottonwood Heights, Sandy UT, and nearby neighborhoods.


To request an appointment with your Midvale dentist, please complete the information below. A member of our team will then contact you to confirm your appointment. If your need is urgent, please contact our office at 801-676-8100.

    First Name:
    Last Name:
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    Are you a current Patient?:YesNo


    Office Hours

    	
    Tue: 7:00am - 2:00pm
    Wed: 7:00am - 2:00pm
    Thu: 2:00pm - 7:00pm
    Fri: 7:00am - 2:00pm

    Preferred Date:
    Backup Date:
    Backup Date:

    Appointments must be requested at least 2 days in advance.

    Time:

    Comments:

    Additional questions or comments related to your appointment
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    The date and time you requested may not be available. We will contact you to confirm your actual appointment details.

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    Important Notice

    Please note that this form is not encrypted. To protect your privacy, we kindly ask that you avoid including sensitive information such as credit card details, birthdates, or other confidential data. If you need to share such information, please contact our office directly at 801-676-8100. Thank you for your understanding.