Appointment Appointment Request Schedule an Appointment with CenterCare Dental Group To request appointment availability, please fill out the form below. Our scheduling coordinator will contact you to confirm your appointment. Name*Email* Phone*Date* Date Format: MM slash DD slash YYYY Time*Select Time7:30 am to 8:30 am8:30 am to 9:30 am9:30 am to 10:30 am10:30 am to 11:30 am12:30 pm to 1:30 pm1:30 pm to 2:30 pm2:30 pm to 3:30 pm3:30 pm to 4:30 pmNotes to the Doctor*Please do not submit any Protected Health Information (PHI)