Appointments | Marx Family Dental

Your scheduled appointment time has been reserved specifically for you. We are aware that unforeseen events sometimes require changing an appointment. We request 24-hours notice if you need to change or cancel your appointment. Changing your appointment can effect many other patients so kindly allow us 24-hours notice if you must reschedule.

Appointment Request Form

Please fill out the form below to request an appointment or call us at (816) 452-2000.

Appointment Request Form

Is this appointment for a new patient? *

Yes

Patient's Name *

First

Last Name

Last

Your Name (If Appointment is for a Minor)

First

Last Name of Minor

Last

Phone Number *

Email Address *

Preferred Date *

Preferred Time *

How did you hear about our practice? How did you hear about our practice?

If from a referral, whom may we thank?

Questions or Comments

If you are human, leave this field blank.

Office Hours

Monday: 8:00am – 5:00pm
Tuesday: 8:00am – 5:00pm
Wednesday: 9:00am – 5:00pm
Thursday: 8:00am – 5:00pm
Friday: 8:00am – 12:00pm

Request An Appointment

Appointment Request Form

Office Hours