Pre-Booking Request At Pretreatment Time

Please use the form below for any cases that you would like to pre-book. Or, you may download adobe PDF for faxing your pre-booking request to us at: 541-459-0521

To reserve a spot in Crown Works Schedule at time of pre-treatment, please allow at least 2 weeks from the date your Rx and impression enters the lab.

Note: You will be redirected to this page after submitting your information for multiple pre-booking patient requests.