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10<title>Appointment Request - Spangler, Lambert & Lipp Pediatric Dentistry | Winston-Salem Kernersville NC</title>
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61	    <a class="addy" href="/winston-salem-office">Winston-Salem:</a>
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69		<span class="info" data-letters="Schedule an Appointment">Schedule an Appointment
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94    <ul><li class="home first"><a href="/home" id="home" class="home"><span>Home</span></a></li><li class="about-us"><a href="/meet-dr-gina-spangler" id="about-us" class="about-us"><span>About</span> <span>Us</span></a><ul><li class="meet-dr-gina-spangler first"><a href="/meet-dr-gina-spangler" class="meet-dr-gina-spangler"><span>Meet</span> <span>Dr.</span> <span>Gina</span> <span>Spangler</span></a></li><li class="meet-dr-gail-rohlfing"><a href="/meet-dr-gail-rohlfing" class="meet-dr-gail-rohlfing"><span>Meet</span> <span>Dr.</span> <span>Gail</span> <span>Rohlfing</span></a></li><li class="meet-dr-kate-lambert"><a href="/meet-dr-kate-lambert" class="meet-dr-kate-lambert"><span>Meet</span> <span>Dr.</span> <span>Kate</span> <span>Lambert</span></a></li><li class="meet-dr-kelly-lipp"><a href="/meet-dr-kelly-lipp" class="meet-dr-kelly-lipp"><span>Meet</span> <span>Dr.</span> <span>Kelly</span> <span>Lipp</span></a></li><li class="meet-dr-angela-baechtold"><a 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<span>Maintenance</span></a></li></ul></li><li class="infant-care"><a href="/dental-care-for-your-baby" id="infant-care" class="infant-care"><span>Infant</span> <span>Care</span></a><ul><li class="dental-care-for-your-baby first"><a href="/dental-care-for-your-baby" class="dental-care-for-your-baby"><span>Dental</span> <span>Care</span> <span>For</span> <span>
94Your</span> <span>Baby</span></a></li><li class="tongue-tie-lip-tie"><a href="/tongue-tie-lip-tie" class="tongue-tie-lip-tie"><span>Tongue-Tie/Lip-Tie</span></a></li><li class="first-dental-visit last"><a href="/first-dental-visit" class="first-dental-visit"><span>First</span> <span>Dental</span> <span>Visit</span></a></li></ul></li><li class="contact-us active last"><a href="/winston-salem-office" id="contact-us" class="contact-us"><span>Contact</span> <span>Us</span></a><ul><li class="winston-salem-office first"><a href="/winston-salem-office" class="winston-salem-office"><span>Winston-Salem</span> <span>Office</span></a></li><li class="kernersville-office"><a href="/kernersville-office" class="kernersville-office"><span>Kernersville</span> <span>Office</span></a></li><li class="appointment-request active last"><a href="/appointment-request" class="appointment-request"><span>Appointment</span> <span>Request</span></a></li></ul></li></ul>			
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124            As always, we are committed to patient safety.  In response to the North Carolina Dental Board, The American Dental Association (ADA), and the Center for Disease Control (CDC), we have updated our personal protective equipment and infection control procedures to meet and exceed current OSHA guidelines.  Our office will be undergoing a phased reopening beginning on Monday, May 18th 2020.  To read more about how our office is keeping our patient families and coworkers safe, please see below.
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146    <header><h1>Appointment Request</h1></header>
147    <div class="content-text"><p class="width2">The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.</p>
148
149<p class="note width2">Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.</p>
150
151<form action="/appointment-request" class="full validate" method="post"><input id="required_values" name="required_values" type="hidden" value="First_Name,Phone_Number,Email,Last_Name,Guardians_Name,Office_Location,Comment,Hear_About_Us" />
152<fieldset class="width2"><legend>Contact Information:</legend> <label for="Web_Address"> <input id="Web_Address" name="sc_form[Web_Address]" type="hidden" /> </label> <label class="required first width1" for="First_Name"> <span>Patient&#39;s First Name</span> <input data-minlength="5" id="First_Name" name="sc_form[First_Name]" required="required" type="text" /></label> <label class="required first width1" for="Last_Name"> <span>Patient&#39;s Last Name</span> <input data-minlength="5" id="Last_Name" name="sc_form[Last_Name]" required="required" type="text" /></label> <label class="required first width1" for="Guardians_Name"> <span>Guardians&#39; Full Name</span> <input data-minlength="5" id="Guardians_Name" name="sc_form[Guardians_Name]" required="required" type="text" /></label> <label class="required first width1" for="Phone_Number"> <span>Phone Number</span> <input data-minlength="2" id="Phone_Number" name="sc_form[Phone_Number]" required="required" type="text" /></label> <label class="first width1 required" for="Email"> <span>Email Address</span><br />
153<input id="Email" name="sc_form[Email]" required="required" type="email" /> </label> <label class="first width1 required" for="Office_Location"> <span>Office Location Preference</span> <select id="Office_Location" name="sc_form[Office_Location]" required=""><option value="Winston-Salem Office">Winston-Salem Office</option><option value="Kernersville Office">Kernersville Office</option></select> </label> <label class="required first width1" for="Hear_About_Us"> <span>How did you hear about us?</span> <input data-minlength="5" id="Hear_About_Us" name="sc_form[Hear_About_Us]" required="required" type="text" /></label>
154
155<fieldset class="radio-group full">
156<p class="loud"><span><strong>Which day(s) of the week are you available?</strong></span></p>
157<label class="first unitx3" for="Days_Available_No_Preference"><input id="Days_Available_No_Preference" name="sc_form[Preferred_Day]" type="checkbox" value="None" /> <span>No Preference</span></label> <label class="unitx3" for="Days_Available_Monday"> <input id="Days_Available_Monday" name="sc_form[Monday]" type="checkbox" value="Available" /> <span>Monday</span></label> <label class="first unitx3" for="Days_Available_Tuesday"> <input id="Days_Available_Tuesday" name="sc_form[Tuesday]" type="checkbox" value="Available" /> <span>Tuesday</span></label> <label class="unitx3" for="Days_Available_Wednesday"> <input id="Days_Available_Wednesday" name="sc_form[Wednesday]" type="checkbox" value="Available" /> <span>Wednesday</span></label> <label class="first unitx3" for="Days_Available_Thursday"> <input id="Days_Available_Thursday" name="sc_form[Thursday]" type="checkbox" value="Available" /> <span>Thursday</span></label></fieldset>
158
159
160<label class="first width1 required" for="Comment"> <span>Is there any info the doctor needs to be aware of?</span><textarea cols="30" data-minlength="10" id="Comment" name="sc_form[Comment]" required="" rows="10"></textarea> </label></fieldset>
161
162<p>&nbsp;</p>
163
164<fieldset><button class="button button-medium site-button-color box-round box-shadow" type="submit">Submit Request</button></fieldset>
165</form>
166</div>
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187    <div class="street">1544 N Peace Haven Rd<br />Winston-Salem, NC 27104</div>
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193    <div class="street">900 Old Winston Rd STE 210<br />Kernersville, NC 27284</div>
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202    <div class="street">1544 N Peace Haven Rd<br />Winston-Salem, NC 27104</div>
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208    <div class="street">900 Old Winston Rd STE 210<br />Kernersville, NC 27284</div>
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277
278// paroller
279$('.nul').paroller();
280$('.one').paroller();
281$('.two').paroller();
282$('.spot_01').paroller();
283
284});
285</script>
285
286
287</body>
288</html>

Line numbers count LF bytes from the start of the resource, as the search results do. Vendor segments are library code the classifier recognised; they are stored but not indexed. Bytes are shown as Latin1 characters, one per byte.