Contact Us

Record Transfer Questions

Requests for record transfer need to be sent directly us via email: office@chanhassendental.com or by fax @ 952-934-3336

Registration Form

   AUTHORIZATION TO RELEASE DENTAL RECORDS FORM –> Click Here!


Scheduling Questions 

To schedule, reschedule or cancel your appointment please call our Appointment Scheduling 952-934-3383. You can also schedule your appointment online or contact us directly. Please do not use the form below for appointment related cancellation requests. Please note that you must call our Appointment Scheduling at 952-934-3383 to cancel an existing appointment.

Dental Emergencies

If you have a dental emergency during regular business hours, please call our Appointment Scheduling at 952-934-3383. For after hours dental emergencies, call 952-934-3383 and a doctor will be paged.

Other questions:

Please note we are unable to diagnose, provide advice or offer treatment online, over the phone or by mail. Contact our clinic to schedule an appointment to discuss dental care needs.

Your Name (required)

Your Email (required)

Your Phone # (required)

Current Patient?
 Yes No

Available Days (Mark all that apply) :
 Monday Tuesday Wednesday Thursday Friday

Available Times (Mark all that apply) :
 07:00 am 08:00 am 09:00 am 10:00 am 11:00 am 12:00 pm 01:00 pm 02:00 pm 03:00 pm 04:00 pm 05:00 pm 06:00 pm

Type of Appointment:
 Cleaning Appointment Schedule for Tx already Diagnosed by Dr. Second Opinion Tooth Pain Invisalign Consult w/ Dr. Weber

Additional Comments including name of preferred hygienist / doctor:
 Dr. Weber Dr. Lembke Kathi w/ Dr. Weber Kathi w/ Dr. Lembke Mary w/ Dr. Weber Mary w/ Dr. Lembke Kay w/ Dr. Weber Kay w/ Dr. Lembke No Preference of Doctor or Hygienist

Additional Comments?

Submit your New Patient form (if applicable)

NOTE: Please wait for the "green box" success screen (this can take a couple mins to send if you are also attaching your registration form)

Registration Form  REGISTRATION FORM & MEDICAL HISTORY –> Click Here!

* Billing questions will more than likely need to be answered over the phone.
* Please note that you must call our Appointment Scheduling at 952-934-3383 to cancel an existing appointment.

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