Appointment Request

Office Location | Refer a Friend | Appointment Request

Schedule your appointments online. It's easy: just fill out our appointment request form and press submit. Our practice will contact you soon to confirm the date and time of your appointment.

Your information:

Name:

First

Last
Address:

Street

City

Zip code
Phone numbers:

Daytime phone number

Alternate phone number
Email address:

Valid email address

Appointment details:

What would you like to do?

Reason for appointment
Are you currently a patient with us?

Yes No

Who referred you?

Source of referral
Additional information:

Comments

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My smile is the most important thing I put on each day. Dr. Jordan completed my ortho treatment almost 25 years ago and I couldn't be happier with the results to this day.
People are always telling me I have a gorgeous smile, and that I am so lucky. I always tell them all the same thing. I tell them that my Orthodontist, Dr Jordan, is to thank.
Thank you so much for my wonderful smile. I get lots of compliments on it. I always say thank you, Dr Jordan, my Orthodontist did a great job!
I highly recommend Dr Jordan and his entire super friendly staff to anyone, who may be old or new to the Tacoma area and actively looking for an excellent Orthodontist, and need an honest, true assessment/recommendation.

Donald C. Jordan, DDS

Appointment Request

Your information:

Name:

Address:

Phone numbers:

Email address:

Appointment details:

What would you like to do?

Are you currently a patient with us?

Additional information:

Security and submit:

For security purposes, please enter the code below: