Thank you for selecting Wind City Dental to provide dental care for you and your family. So that we may better serve you, please complete the questionnaire below. Only complete the questionnaire if you have been directed to do so by one of our staff. If you have not been asked contact us by the schedule an appointment form.
We are the sole owners of the information collected on this site. We will not sell or rent this information to anyone. We will use your information to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request.
Please enter the following information into the form, and press the "Submit" button at the bottom of the page. This information is transmitted safely and securely protected for your confidentiality.