Contact - Appointment Request

Helen Song D.D.S.
6860 Brockton Ave. #10
Riverside, CA 92506

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment. Please provide us with the name of your insurance provider if you plan on using insurance, if not, let us know it will be on a cash basis.

Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.