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45 46 47 <div id="fixed-tabs"> 48 <a href="request-an-appointment.html" class="ra"> 49 <span><i class="icon-calendar-1"></i> <em>Request</em></span> 50 <span>Request<strong> an Appointment</strong></span> 51 </a> 52 <a href="tel:+19048243540" class="call"> 53 <span><i class="icon-phone"></i><em>Call</em></span> 54 <span>Call <strong>Us</strong></span> 55 </a> 56 <a href="https://www.google.com/maps/place/Salt+Run+Family+Dentistry/@29.8886191,-81.2965045,15.25z/data=!4m5!3m4!1s0x0:0x6594e28fee59d301!8m2!3d29.8894654!4d-81.292174?hl=en&shorturl=1" target="_blank" class="map"> 57 <span><i class="icon-location"></i><em>Map</em></span> 58 <span><strong>View </strong>Map</span> 59 </a> 60 </div> 61 <header> 62 <!--<a href="covid-19-safety-protocol.html" class="safe-page">Click Here to Learn More about our Advanced Safety Protocols</a>--> 63 <div id="hd-contents" class="place-nav"> 64 <a class="logo" href="/"> 65 <img alt="Salt Run Family Dentistry logo" src="assets/images/logo.jpg"/> 66 </a> 67 <div class="hd-info"> 68 <p class="pho">Call or Text Us<br> 69 <a href="tel:+19048243540" class="pho">(904) 824-3540</a></p> 70 <a href="https://goo.gl/maps/H5MoBufuQEew9nwu6" class="phy" target="_blank">700 Anastasia Blvd, <span>St. Augustine, FL 32080</span></a> 71 </div> 72 <a href="https://www.smilereminder.com/sr/schedule/anon.do?id=d756543605d32a77" target="_blank" class="btn ra"><span>Schedule </span> an Appointment</a> 73 </div> 74 <nav id="main-nav"> 75 <ul><li><a href="/" title="Dentist St. Augustine, FL">Home</a></li> <li><a href="sedation-dentistry.html#sedation-faq" title="">Sedation FAQ</a></li> <li><a href="about-us.html" title="About Us">About Us</a> <ul><li><a href="about-us.html" title="What Sets Us Apart">What Sets Us Apart</a></li> <li><a href="meet-your-dentists.html" title="Meet Our Dentists">Meet Your Dentists</a> <ul><li><a href="mickey-leth-dmd.html" title="Meet Dr. Leth">Mickey Leth, DMD</a></li> <li><a href="nicole-dunn.html" title="Dr. Nicole Dunn">Nicole Dunn, DDS</a></li> </ul></li> <li><a href="meet-your-dental-team.html" title="Meet Our Dental Team">Meet Your Dental Team</a></li> <li><a href="tour-our-dental-office.html" title="Tour Our Dental Office">Tour Our Dental Office</a></li> <li><a href="community-involvement.html" title="Community Involvement">Community Involvement</a></li> <li><a href="advanced-dental-technology.html" title="Advanced Dental Services & Technology">Advanced Dental Technology</a></li> <li><a href="https://www.saltrundental.com/blog/" title="Blog">Blog</a></li> </ul></li> <li><a href="our-services.html" title="Dental Services">Our Services</a> <ul><li><a href="preventive-dentistry.html" title="Preventive Dentistry">I Need a Checkup & Cleaning</a> <ul><li><a href="dental-checkups-and-cleanings.html" title="Dental Checkups & Cleanings">Dental Checkups & Cleanings</a></li> </ul></li> <li><a href="childrens-dentistry.html" title="Childrenâs Dentistry">I am Looking for a Dentist for My Child</a> <ul><li><a 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title="Invisalign">Invisalign Clear Braces</a></li> </ul></li> </ul></li> <li><a href="for-patients.html" title="New Patients">For Patients</a> <ul><li><a href="for-patients.html" title="Your First Visit">Your First Visit</a></li> <li><a href="dental-insurance.html" title="Dental Insurance">Dental Insurance</a> <ul><li><a href="humana-ppo-dental-insurance.html" title="Humana PPO Dental Insurance">Humana PPO Dental Insurance</a></li> </ul></li> <li><a href="faqs.html" title="Dental FAQ">FAQs</a></li> </ul></li> <li><a href="reviews.html" title="Reviews">Reviews</a> </li> <li><a href="contact.html" title="Contact Us">Contact</a> <ul><li><a href="contact.html" title="Office Info">Office Info</a></li> <li><a href="request-an-appointment.html" title="Request an Appointment">Request an Appointment</a></li> </ul></li> </ul> 76 </nav> 77 </header> 78 <main class="clearfix"> 79 <section class="internal"> 80 <div id="page-title"><div id="intro"></div></div> 81 <div id="page"> 82 <h1> 83 Request a Dental Appointment - St. Augustine, FL</h1> 84<h2 id="append"> 85 Setting Up Your Next Visit is Easy!</h2> 86<p class="append"> 87 If you’re ready to start your oral health journey, all you have to do is request an appointment through our online appointment request tool located on our website. Simply fill out your preferences, including the day you’d like to attend and a time of day that best fits your schedule. We’ll be in contact with you shortly to confirm the appointment date as well as answer any questions you might have. If you need to reschedule, call us directly.</p> 88<form action="https://tnt-adder.herokuapp.com/submit/b727d078-3cfb-46fe-8b73-fddf18856d4c" class="styled-form" method="post"> 89 <div class="drei"> 90 <span class="input-content"><input class="input__field" name="Name" required="true" type="text" /> <label class="input__label"><span class="input__label-content">Full Name <strong>Jane Smith</strong></span></label> </span> <span class="input-content"> <input class="input__field" name="Phone" required="true" type="tel" /> <label class="input__label"><span class="input__label-content">Phone Number <strong>(555) 555-5555</strong></span></label> </span> <span class="input-content"> <input class="input__field" name="Email" required="true" type="email" /> <label class="input__label"><span class="input__label-content">Email Address <strong>[email protected]</strong></span></label> </span></div> 91 <div class="drei"> 92 <div class="inline options"> 93 <label>Are you...</label> <span><input name="PatientType[]" type="checkbox" value="New" /> A New Patient </span> <span><input name="PatientType[]" type="checkbox" value="Existing" /> An Existing Patient </span></div> 94 <div class="inline day"> 95 <label>Preferred day of the week</label> <span><input name="day[]" type="checkbox" value="Monday" /> Monday </span> <span><input name="day[]" type="checkbox" value="Tuesday" /> Tuesday </span> <span><input name="day[]" type="checkbox" value="Wednesday" /> Wednesday </span> <span><input name="day[]" type="checkbox" value="Thursday" /> Thursday </span> <span><input name="day[]" type="checkbox" value="Friday" /> Friday </span></div> 96 <div class="inline time"> 97 <label>Preferred method of communication</label> <span><input name="time[]" type="checkbox" value="phone" /> Phone </span> <span><input name="time[]" type="checkbox" value="Text" /> Text </span> <span><input name="time[]" type="checkbox" value="email" /> Email </span></div> 98 </div> 99 <div class="drei"> 100 <div class="inline"> 101 <label>What are you interested in?</label><textarea aria-label="Interests" name="Interests" placeholder="I am interested inâ¦"></textarea></div> 102 <div class="inline wide"> 103 <label>Do you have any questions or comments?</label><textarea aria-label="Questions" name="Questions/Comments" placeholder="Type your questions or comments here."></textarea></div> 104 </div> 105 <div class="hear"> 106 <label>How did you hear about us?</label> <select name="Discover" required="true"><option value="">Select One</option><option>Search Engine</option><option>Family/Friend</option><option>Promotion</option><option>Social Media</option><option>Other</option></select></div> 107 <button class="btn">Submit Request</button><input name="_subject" type="hidden" value="Request Appointment" /> <input name="_redirect" type="hidden" value="thanks.html" /></form> 108 </div> 109 </section> 110 <div class="index"> 111 112 </div> 113 </main> 114<footer> 115 <div id="fo-contents"> 116 117 <div id="fo-info"> 118 <a href="/" class="logo"><img src="assets/images/logo-footer.jpg" alt="Salt Run Family Dentistry logo"></a> 119 <a href="tel:19048243540" class="pho">(904) 824-3540</a> 120 <a href="mailto:[email protected]" class="phy">Send Us an Email: [email protected]</a> 121 <a href="https://goo.gl/maps/H5MoBufuQEew9nwu6" class="phy" target="_blank">700 Anastasia Blvd, <br> 122 St. Augustine, FL 32080</a> 123 <div class="hours">
124 <span class="fo-title">Office Hours</span> 125 <p> 126 <label>Monday</label>8:00 am - 5:00 pm 127 <br /> 128 <label>Tuesday</label>8:00 am - 5:00 pm 129 <br /> 130 <label>Wednesday</label>8:00 am - 5:00 pm 131 <br /> 132 <label>Thursday</label>8:00 am - 5:00 pm 133 <br /> 134 <label>Friday</label>8:30 am - 2:00 pm 135 </p> 136 </div> 137 </div> 138 <div id="quest"> 139 <div class="h1 accent">Let's Chat.</div> 140 <div class="fo-title">Have Questions? <span>Get Answers.</span></div> 141 <form class="simple" method="post" action="https://tnt-adder.herokuapp.com/submit/b727d078-3cfb-46fe-8b73-fddf18856d4c"> 142 <input type="text" name="name" required="true" placeholder="Name" /> 143 <input type="email" name="email" required="true" placeholder="Email" /> 144 <input type="tel" name="phone" required="true" placeholder="Phone Number" /> 145 <textarea name="message" placeholder="How Can We Help You?"></textarea> 146 <button class="btn-thr">Submit</button> 147 <input type="hidden" name="_subject" value="Ask Us a Question" /> 148 <input type="hidden" name="_redirect" value="thanks.html" /> 149 </form> 150 </div> 151 </div> 152 <div class="social"> 153 <a href="https://www.facebook.com/Saltrunfamilydentistry/" class="fb" target="_blank"><i class="icon-facebook"></i></a> 154 <a href="https://www.google.com/maps/place/Salt+Run+Family+Dentistry/@29.8886191,-81.2965045,15.25z/data=!4m5!3m4!1s0x0:0x6594e28fee59d301!8m2!3d29.8894654!4d-81.292174?hl=en&shorturl=1" class="gp" target="_blank"><i class="icon-google"></i></a> 155 <a href="https://www.youtube.com/channel/UCaK0m0bfvw2d5E2_WEdXg7Q" class="yt" target="_blank"><i class="icon-youtube-play"></i></a> 156 <a href="https://twitter.com/SaltRunFamDent" class="tw" target="_blank"><i class="icon-twitter"></i></a> 157 <a href="https://www.yelp.com/biz/salt-run-family-dentistry-st-augustine" class="yp" target="_blank"><i class="icon-yelp"></i></a> 158 </div> 159 <div id="copy">© <span id="copyDate"></span> Salt Run Family Dentistry <span>|</span> <a href="sitemap.html">Sitemap</a> <span>|</span> 160 <a href="privacy-policy.html">Privacy Policy</a> <span>|</span> Site designed and maintained by <a href="https://www.tntdental.com" target="_blank">TNT Dental</a> 161 </div> 162</footer>
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