{"id":1589,"date":"2023-07-28T22:32:07","date_gmt":"2023-07-28T22:32:07","guid":{"rendered":"https:\/\/signaturedental.ombion.dev\/?page_id=1589"},"modified":"2023-10-05T12:06:03","modified_gmt":"2023-10-05T19:06:03","slug":"appointment-request","status":"publish","type":"page","link":"https:\/\/signaturedentalbayarea.com\/appointment-request\/","title":{"rendered":"Appointment Request"},"content":{"rendered":"<style>.kb-row-layout-id1589_27b9ef-1a > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id1589_27b9ef-1a > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id1589_27b9ef-1a > .kt-row-column-wrap{column-gap:80px;row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:minmax(0, 1fr) minmax(0, 2fr);}.kb-row-layout-id1589_27b9ef-1a > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id1589_27b9ef-1a > .kt-row-column-wrap{grid-template-columns:repeat(2, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id1589_27b9ef-1a > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id1589_27b9ef-1a alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-right-golden kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column1589_c15541-be > .kt-inside-inner-col,.kadence-column1589_c15541-be > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1589_c15541-be > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1589_c15541-be > .kt-inside-inner-col{flex-direction:column;}.kadence-column1589_c15541-be > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1589_c15541-be > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1589_c15541-be{position:relative;}@media all and (max-width: 1024px){.kadence-column1589_c15541-be > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1589_c15541-be > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1589_c15541-be\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading1589_84a94b-84, .wp-block-kadence-advancedheading.kt-adv-heading1589_84a94b-84[data-kb-block=\"kb-adv-heading1589_84a94b-84\"]{font-size:1rem;line-height:1.6;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1589_84a94b-84 mark, .wp-block-kadence-advancedheading.kt-adv-heading1589_84a94b-84[data-kb-block=\"kb-adv-heading1589_84a94b-84\"] mark{font-style:normal;color:#f76a0c;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<p class=\"kt-adv-heading1589_84a94b-84 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading1589_84a94b-84\">To schedule an appointment, please complete our appointment form on this page, and our Signature Dental scheduling coordinator will contact you to confirm your appointment. Do not use this form to communicate personal information. You can also give us a call using the number below.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading1589_ed8867-87, .wp-block-kadence-advancedheading.kt-adv-heading1589_ed8867-87[data-kb-block=\"kb-adv-heading1589_ed8867-87\"]{font-size:1rem;line-height:1.6;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1589_ed8867-87 mark, .wp-block-kadence-advancedheading.kt-adv-heading1589_ed8867-87[data-kb-block=\"kb-adv-heading1589_ed8867-87\"] mark{font-style:normal;color:#f76a0c;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<p class=\"kt-adv-heading1589_ed8867-87 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading1589_ed8867-87\">We look forward to meeting you! Thank you.<\/p>\n\n\n<style>.wp-block-kadence-advancedbtn.kt-btns1589_4cf3a1-ab, .site .entry-content .wp-block-kadence-advancedbtn.kt-btns1589_4cf3a1-ab, .wp-block-kadence-advancedbtn.kb-btns1589_4cf3a1-ab, .site .entry-content .wp-block-kadence-advancedbtn.kb-btns1589_4cf3a1-ab{margin-top:50px;}.wp-block-kadence-advancedbtn.kb-btns1589_4cf3a1-ab{gap:var(--global-kb-gap-xs, 0.5rem );justify-content:flex-start;align-items:center;}.kt-btns1589_4cf3a1-ab .kt-button{font-weight:normal;font-style:normal;}.kt-btns1589_4cf3a1-ab .kt-btn-wrap-0{margin-right:5px;}.wp-block-kadence-advancedbtn.kt-btns1589_4cf3a1-ab .kt-btn-wrap-0 .kt-button{color:#555555;border-color:#555555;}.wp-block-kadence-advancedbtn.kt-btns1589_4cf3a1-ab .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns1589_4cf3a1-ab .kt-btn-wrap-0 .kt-button:focus{color:#ffffff;border-color:#444444;}.wp-block-kadence-advancedbtn.kt-btns1589_4cf3a1-ab .kt-btn-wrap-0 .kt-button::before{display:none;}.wp-block-kadence-advancedbtn.kt-btns1589_4cf3a1-ab .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btns1589_4cf3a1-ab .kt-btn-wrap-0 .kt-button:focus{background:#444444;}<\/style>\n<div class=\"wp-block-kadence-advancedbtn kb-buttons-wrap kb-btns1589_4cf3a1-ab\"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn1589_7de584-18.kb-button{width:initial;}.wp-block-kadence-advancedbtn .kb-btn1589_7de584-18.kb-button{color:var(--global-palette9, #ffffff);background:var(--global-palette3, #1A202C);border-top-left-radius:7px;border-top-right-radius:7px;border-bottom-right-radius:7px;border-bottom-left-radius:7px;padding-top:14px;padding-right:20px;padding-bottom:14px;padding-left:20px;}.kb-btn1589_7de584-18.kb-button .kb-svg-icon-wrap{font-size:20px;}.wp-block-kadence-advancedbtn .kb-btn1589_7de584-18.kb-button:hover{color:var(--global-palette9, #ffffff);background:var(--global-palette1, #3182CE);}@media all and (max-width: 1024px){.kb-btn1589_7de584-18.kb-button .kb-svg-icon-wrap{display:block;}}<\/style><a class=\"kb-button kt-button button kb-btn1589_7de584-18 kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-true wp-block-kadence-singlebtn\" href=\"tel:+14083778910\" rel=\" nofollow\"><span class=\"kt-btn-inner-text\">Call 408 377 8910<\/span><span class=\"kb-svg-icon-wrap kb-svg-icon-fe_phoneCall kt-btn-icon-side-right\"><svg viewBox=\"0 0 24 24\"  fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"  aria-hidden=\"true\"><path d=\"M15.05 5A5 5 0 0 1 19 8.95M15.05 1A9 9 0 0 1 23 8.94m-1 7.98v3a2 2 0 0 1-2.18 2 19.79 19.79 0 0 1-8.63-3.07 19.5 19.5 0 0 1-6-6 19.79 19.79 0 0 1-3.07-8.67A2 2 0 0 1 4.11 2h3a2 2 0 0 1 2 1.72 12.84 12.84 0 0 0 .7 2.81 2 2 0 0 1-.45 2.11L8.09 9.91a16 16 0 0 0 6 6l1.27-1.27a2 2 0 0 1 2.11-.45 12.84 12.84 0 0 0 2.81.7A2 2 0 0 1 22 16.92z\"\/><\/svg><\/span><\/a><\/div>\n\n\n<style>.wp-block-kadence-spacer.kt-block-spacer-1589_f0a23b-1b .kt-block-spacer{height:50px;}.wp-block-kadence-spacer.kt-block-spacer-1589_f0a23b-1b .kt-divider{border-top-width:1px;height:1px;border-top-color:var(--global-palette4, #2D3748);width:100%;border-top-style:solid;}<\/style>\n<div class=\"wp-block-kadence-spacer aligncenter kt-block-spacer-1589_f0a23b-1b\"><div class=\"kt-block-spacer kt-block-spacer-halign-center\"><hr class=\"kt-divider\"\/><\/div><\/div>\n\n\n<style>.kb-block-show-more-container1589_ac6ca2-59 > .wp-block-kadence-advancedbtn{margin-top:1em;}.kb-block-show-more-container1589_ac6ca2-59 > .wp-block-kadence-advancedbtn .kt-btn-wrap:nth-child(2), .kb-block-show-more-container1589_ac6ca2-59 > .wp-block-kadence-advancedbtn .wp-block-kadence-singlebtn:nth-of-type(2){display:none;}.kb-block-show-more-container1589_ac6ca2-59 > .wp-block-kadence-column{max-height:100px;overflow-y:hidden;-webkit-mask-image:linear-gradient(to bottom, black 36%, transparent 100%);mask-image:linear-gradient(to bottom, black 36%, transparent 100%);}.kb-block-show-more-container1589_ac6ca2-59.kb-smc-open > .wp-block-kadence-column{max-height:none;-webkit-mask-image:none;mask-image:none;}.kb-block-show-more-container1589_ac6ca2-59.kb-smc-open > .wp-block-kadence-advancedbtn .kt-btn-wrap:nth-child(1), .kb-block-show-more-container1589_ac6ca2-59.kb-smc-open > .wp-block-kadence-advancedbtn .wp-block-kadence-singlebtn:nth-of-type(1){display:none;}.kb-block-show-more-container1589_ac6ca2-59.kb-smc-open > .wp-block-kadence-advancedbtn .kt-btn-wrap:nth-child(2), .kb-block-show-more-container1589_ac6ca2-59.kb-smc-open > .wp-block-kadence-advancedbtn .wp-block-kadence-singlebtn:nth-of-type(2){display:inline-flex;}.kb-block-show-more-container1589_ac6ca2-59.kb-smc-open > .wp-block-kadence-advancedbtn.kt-force-btn-fullwidth .kt-btn-wrap:nth-child(2){display:block;}.kb-block-show-more-container1589_ac6ca2-59.kb-smc-open > .wp-block-kadence-advancedbtn .kt-btn-wrap:nth-child(2), .kb-block-show-more-container1589_ac6ca2-59.kb-smc-open > .wp-block-kadence-advancedbtn .wp-block-kadence-singlebtn:nth-of-type(2){display:none;}<\/style>\n<div class=\"wp-block-kadence-show-more kb-block-show-more-container kb-block-show-more-container1589_ac6ca2-59\"><style>.kadence-column1589_d7f454-f4 > .kt-inside-inner-col,.kadence-column1589_d7f454-f4 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1589_d7f454-f4 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1589_d7f454-f4 > .kt-inside-inner-col{flex-direction:column;}.kadence-column1589_d7f454-f4 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1589_d7f454-f4 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1589_d7f454-f4{position:relative;}@media all and (max-width: 1024px){.kadence-column1589_d7f454-f4 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1589_d7f454-f4 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1589_d7f454-f4 kb-show-more-content\"><div class=\"kt-inside-inner-col\">\n<h5 class=\"wp-block-heading\">48-Hour Business-Day Cancellation Policy<\/h5>\n\n\n\n<p>Our Practice goal is to provide quality dental care to all of our patients in a timely manner- this is why we reserve time with your designated provider.&nbsp; No-shows, late arrivals, and cancellation of appointments not only inconvenience our providers, but they also limit or change the treatment time of other patients on our schedule.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading1589_c4e13b-a6, .wp-block-kadence-advancedheading.kt-adv-heading1589_c4e13b-a6[data-kb-block=\"kb-adv-heading1589_c4e13b-a6\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1589_c4e13b-a6 mark, .wp-block-kadence-advancedheading.kt-adv-heading1589_c4e13b-a6[data-kb-block=\"kb-adv-heading1589_c4e13b-a6\"] mark{font-style:normal;color:#f76a0c;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<p class=\"kt-adv-heading1589_c4e13b-a6 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading1589_c4e13b-a6\"><strong>Appointments cancelled under 48 hours<\/strong> (business days, Monday &#8211; Friday) will incur a <strong>$75.00 cancellation fee<\/strong> per hour. We do not include weekends as working days.<\/p>\n\n\n\n<p><strong>Appointments for procedures scheduled 2+ hours<\/strong> are considered confirmed appointments with our office. Cancelling or rescheduling these appointments will result in a mandatory <strong>$150 fee<\/strong>. We ask that you please make sure extended appointment times are something that works for you before scheduling.<\/p>\n\n\n\n<p>Your appointments and well-being are very important to us. We understand that sometimes unexpected delays can occur, making schedule adjustments necessary. We respectfully ask you to call the number listed on this page to reschedule any appointments directly with the office. We do not accept cancellations via email or text as these systems are not monitored throughout the day.<\/p>\n\n\n\n<p>Thank you for understanding our scheduling and rescheduling policy!<\/p>\n<\/div><\/div>\n\n\n<style>.wp-block-kadence-advancedbtn.kb-btnsbutton-one-3{gap:var(--global-kb-gap-xs, 0.5rem );justify-content:flex-start;align-items:center;}.kt-btnsbutton-one-3 .kt-button{font-weight:normal;font-style:normal;}.kt-btnsbutton-one-3 .kt-btn-wrap-0{margin-right:5px;}.wp-block-kadence-advancedbtn.kt-btnsbutton-one-3 .kt-btn-wrap-0 .kt-button{color:#555555;border-color:#555555;}.wp-block-kadence-advancedbtn.kt-btnsbutton-one-3 .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btnsbutton-one-3 .kt-btn-wrap-0 .kt-button:focus{color:#ffffff;border-color:#444444;}.wp-block-kadence-advancedbtn.kt-btnsbutton-one-3 .kt-btn-wrap-0 .kt-button::before{display:none;}.wp-block-kadence-advancedbtn.kt-btnsbutton-one-3 .kt-btn-wrap-0 .kt-button:hover, .wp-block-kadence-advancedbtn.kt-btnsbutton-one-3 .kt-btn-wrap-0 .kt-button:focus{background:#444444;}<\/style>\n<div class=\"wp-block-kadence-advancedbtn kb-buttons-wrap kb-btnsbutton-one-3 kb-show-more-buttons\"><style>ul.menu .wp-block-kadence-advancedbtn .kb-btn1589_37ebbf-e7.kb-button{width:initial;}@media all and (max-width: 1024px){.kb-btn1589_37ebbf-e7.kb-button .kb-svg-icon-wrap{display:block;}}<\/style><button class=\"kb-button kt-button button kb-btn1589_37ebbf-e7 kt-btn-size-small kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false wp-block-kadence-singlebtn\"><span class=\"kt-btn-inner-text\">Show More<\/span><\/button>\n\n<style>ul.menu .wp-block-kadence-advancedbtn .kb-btn1589_7b139f-f5.kb-button{width:initial;}@media all and (max-width: 1024px){.kb-btn1589_7b139f-f5.kb-button .kb-svg-icon-wrap{display:block;}}<\/style><button class=\"kb-button kt-button button kb-btn1589_7b139f-f5 kt-btn-size-small kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false wp-block-kadence-singlebtn\"><span class=\"kt-btn-inner-text\">Show Less<\/span><\/button><\/div>\n<\/div>\n<\/div><\/div>\n\n\n<style>.kadence-column1589_03f05a-7b > .kt-inside-inner-col,.kadence-column1589_03f05a-7b > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1589_03f05a-7b > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1589_03f05a-7b > .kt-inside-inner-col{flex-direction:column;}.kadence-column1589_03f05a-7b > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1589_03f05a-7b > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1589_03f05a-7b{position:relative;}@media all and (max-width: 1024px){.kadence-column1589_03f05a-7b > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1589_03f05a-7b > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1589_03f05a-7b\"><div class=\"kt-inside-inner-col\"><style>.wp-block-kadence-advancedheading.kt-adv-heading1589_ab14f1-ff, .wp-block-kadence-advancedheading.kt-adv-heading1589_ab14f1-ff[data-kb-block=\"kb-adv-heading1589_ab14f1-ff\"]{margin-bottom:30px;line-height:1;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1589_ab14f1-ff mark, .wp-block-kadence-advancedheading.kt-adv-heading1589_ab14f1-ff[data-kb-block=\"kb-adv-heading1589_ab14f1-ff\"] mark{font-style:normal;color:#f76a0c;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h3 class=\"kt-adv-heading1589_ab14f1-ff wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading1589_ab14f1-ff\">Appointment Form<\/h3>\n\n\n<style>.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form{gap:var(--global-kb-gap-sm, 1rem);}.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=text],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=tel],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=number],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=date],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=time],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=email],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=file],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form select,.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form textarea{color:var(--global-palette3, #1A202C);border-top:1px solid var(--global-palette6, #718096);border-right:1px solid var(--global-palette6, #718096);border-bottom:1px solid var(--global-palette6, #718096);border-left:1px solid var(--global-palette6, #718096);}.wp-block-kadence-advanced-form1589_f46660-c3{--kb-form-text-color:var(--global-palette3, #1A202C);--kb-form-border-width:1px;--kb-form-border-color:var(--global-palette6, #718096);}.wp-block-kadence-advanced-form1589_f46660-c3{--kb-form-placeholder-color:var(--global-palette4, #2D3748);}.wp-block-kadence-advanced-form1589_f46660-c3 input[type=text]:focus,.wp-block-kadence-advanced-form1589_f46660-c3 input[type=email]:focus,.wp-block-kadence-advanced-form1589_f46660-c3 input[type=tel]:focus,.wp-block-kadence-advanced-form1589_f46660-c3 input[type=date]:focus,.wp-block-kadence-advanced-form1589_f46660-c3 input[type=number]:focus,.wp-block-kadence-advanced-form1589_f46660-c3 input[type=time]:focus,.wp-block-kadence-advanced-form1589_f46660-c3 input[type=file]:focus,.wp-block-kadence-advanced-form1589_f46660-c3 select:focus,.wp-block-kadence-advanced-form1589_f46660-c3 textarea:focus{border-color:var(--global-palette7, #EDF2F7);}.wp-block-kadence-advanced-form1589_f46660-c3 .kb-adv-form-field .kb-adv-form-label{line-height:1.2;color:var(--global-palette3, #1A202C);}.wp-block-kadence-advanced-form1589_f46660-c3 .kb-adv-form-label .kb-adv-form-required{color:#eb4b17;}.wp-block-kadence-advanced-form1589_f46660-c3 .kb-radio-check-item label{color:var(--global-palette3, #1A202C);line-height:1.2;color:var(--global-palette3, #1A202C);}@media all and (max-width: 1024px){.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=text],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=tel],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=number],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=date],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=time],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=email],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=file],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form select,.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form textarea{border-top:1px solid var(--global-palette6, #718096);border-right:1px solid var(--global-palette6, #718096);border-bottom:1px solid var(--global-palette6, #718096);border-left:1px solid var(--global-palette6, #718096);}}@media all and (max-width: 767px){.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=text],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=tel],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=number],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=date],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=time],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=email],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form input[type=file],.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form select,.wp-block-kadence-advanced-form1589_f46660-c3 .kb-advanced-form textarea{border-top:1px solid var(--global-palette6, #718096);border-right:1px solid var(--global-palette6, #718096);border-bottom:1px solid var(--global-palette6, #718096);border-left:1px solid var(--global-palette6, #718096);}}<\/style><div class=\"wp-block-kadence-advanced-form wp-block-kadence-advanced-form1589_f46660-c3 kb-adv-form-label-style-normal kb-adv-form-input-size-standard kb-form-basic-style wp-block-kadence-advanced-form\"><form class=\"kb-advanced-form\" method=\"post\" data-error-message=\"Please verify your entries and enter valid information.\">\n<style>.kb-row-layout-id1589_73ec28-1f > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id1589_73ec28-1f > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id1589_73ec28-1f > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;grid-template-columns:minmax(0, 1fr);}.kb-row-layout-id1589_73ec28-1f > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id1589_73ec28-1f > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}@media all and (max-width: 767px){.kb-row-layout-id1589_73ec28-1f > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id1589_73ec28-1f alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-1-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column1589_eb01bf-df > .kt-inside-inner-col,.kadence-column1589_eb01bf-df > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1589_eb01bf-df > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1589_eb01bf-df > .kt-inside-inner-col{flex-direction:column;}.kadence-column1589_eb01bf-df > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1589_eb01bf-df > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1589_eb01bf-df{position:relative;}@media all and (max-width: 1024px){.kadence-column1589_eb01bf-df > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1589_eb01bf-df > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1589_eb01bf-df\"><div class=\"kt-inside-inner-col\"><div class=\"kb-adv-form-field kb-adv-form-text-type-input kb-adv-form-infield-type-input kb-fieldc55b0b-94 wp-block-kadence-advanced-form-text\"><label class=\"kb-adv-form-label\" for=\"fieldc55b0b-94\">Your Full Name<span class=\"kb-adv-form-required\">*<\/span><\/label><input name=\"fieldc55b0b-94\" id=\"fieldc55b0b-94\" data-label=\"Your Full Name\" type=\"text\" placeholder=\"\" value=\"\" data-type=\"text\" class=\"kb-field kb-text-field\" data-required=\"yes\" required aria-required=\"true\"\/><\/div><\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id1589_a7902e-54 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id1589_a7902e-54 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id1589_a7902e-54 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:repeat(2, minmax(0, 1fr));}.kb-row-layout-id1589_a7902e-54 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id1589_a7902e-54 > .kt-row-column-wrap{grid-template-columns:repeat(2, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id1589_a7902e-54 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id1589_a7902e-54 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column1589_4374e0-cf > .kt-inside-inner-col,.kadence-column1589_4374e0-cf > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1589_4374e0-cf > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1589_4374e0-cf > .kt-inside-inner-col{flex-direction:column;}.kadence-column1589_4374e0-cf > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1589_4374e0-cf > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1589_4374e0-cf{position:relative;}@media all and (max-width: 1024px){.kadence-column1589_4374e0-cf > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1589_4374e0-cf > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1589_4374e0-cf\"><div class=\"kt-inside-inner-col\"><div class=\"kb-adv-form-field kb-adv-form-text-type-input kb-adv-form-infield-type-input kb-fieldf14a83-d0 wp-block-kadence-advanced-form-email\"><label class=\"kb-adv-form-label\" for=\"fieldf14a83-d0\">Email<span class=\"kb-adv-form-required\">*<\/span><\/label><input name=\"fieldf14a83-d0\" id=\"fieldf14a83-d0\" data-label=\"Email\" type=\"email\" placeholder=\"\" value=\"\" data-type=\"email\" class=\"kb-field kb-email-field\" data-required=\"yes\" required aria-required=\"true\"\/><\/div><\/div><\/div>\n\n\n<style>.kadence-column1589_bb67d7-8b > .kt-inside-inner-col,.kadence-column1589_bb67d7-8b > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1589_bb67d7-8b > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1589_bb67d7-8b > .kt-inside-inner-col{flex-direction:column;}.kadence-column1589_bb67d7-8b > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1589_bb67d7-8b > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1589_bb67d7-8b{position:relative;}@media all and (max-width: 1024px){.kadence-column1589_bb67d7-8b > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1589_bb67d7-8b > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1589_bb67d7-8b\"><div class=\"kt-inside-inner-col\"><div class=\"kb-adv-form-field kb-adv-form-text-type-input kb-adv-form-infield-type-input kb-field274a15-86 wp-block-kadence-advanced-form-telephone\"><label class=\"kb-adv-form-label\" for=\"field274a15-86\">Phone Number<span class=\"kb-adv-form-required\">*<\/span><\/label><input name=\"field274a15-86\" id=\"field274a15-86\" data-label=\"Phone Number\" type=\"tel\" placeholder=\"\" value=\"\" data-type=\"tel\" class=\"kb-field kb-tel-field\" data-required=\"yes\" required aria-required=\"true\"\/><\/div><\/div><\/div>\n\n<\/div><\/div>\n\n<style>.kb-row-layout-id1589_49fdb8-ec > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id1589_49fdb8-ec > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id1589_49fdb8-ec > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;grid-template-columns:repeat(2, minmax(0, 1fr));}.kb-row-layout-id1589_49fdb8-ec > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id1589_49fdb8-ec > .kt-row-column-wrap{grid-template-columns:repeat(2, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id1589_49fdb8-ec > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id1589_49fdb8-ec alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column1589_7072b4-6d > .kt-inside-inner-col,.kadence-column1589_7072b4-6d > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1589_7072b4-6d > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1589_7072b4-6d > .kt-inside-inner-col{flex-direction:column;}.kadence-column1589_7072b4-6d > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1589_7072b4-6d > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1589_7072b4-6d{position:relative;}@media all and (max-width: 1024px){.kadence-column1589_7072b4-6d > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1589_7072b4-6d > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1589_7072b4-6d\"><div class=\"kt-inside-inner-col\"><div class=\"kb-adv-form-field kb-adv-form-infield-type-input kb-field264abf-4f wp-block-kadence-advanced-form-select\"><label class=\"kb-adv-form-label\" for=\"field264abf-4f\">Preferred Appointment Time<span class=\"kb-adv-form-required\">*<\/span><\/label><select  name=\"field264abf-4f\" id=\"field264abf-4f\" required aria-required=\"true\"><option value=\"\" disabled selected>Select One<\/option><option value=\"Morning\">Morning<\/option><option value=\"Afternoon\">Afternoon<\/option><\/select><\/div><\/div><\/div>\n\n\n<style>.kadence-column1589_a92b4a-b6 > .kt-inside-inner-col,.kadence-column1589_a92b4a-b6 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1589_a92b4a-b6 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1589_a92b4a-b6 > .kt-inside-inner-col{flex-direction:column;}.kadence-column1589_a92b4a-b6 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1589_a92b4a-b6 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1589_a92b4a-b6{position:relative;}@media all and (max-width: 1024px){.kadence-column1589_a92b4a-b6 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1589_a92b4a-b6 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1589_a92b4a-b6\"><div class=\"kt-inside-inner-col\"><div class=\"kb-adv-form-field kb-fieldcaacdb-49 wp-block-kadence-advanced-form-checkbox\"><fieldset class=\"kb-radio-check-item-wrap\" id=\"cbcaacdb-49\" data-type=\"checkbox\" data-required=\"no\" ><legend class=\"kb-adv-form-label\">Preferred Day of the Week<\/legend><div class=\"kb-radio-check-item\"><input class=\"kb-checkbox-style\" type=\"checkbox\"  id=\"fieldcaacdb-49_0\" name=\"fieldcaacdb-49[]\" value=\"Mon\"><label for=\"fieldcaacdb-49_0\">Mon<\/label><\/div><div class=\"kb-radio-check-item\"><input class=\"kb-checkbox-style\" type=\"checkbox\"  id=\"fieldcaacdb-49_1\" name=\"fieldcaacdb-49[]\" value=\"Tue\"><label for=\"fieldcaacdb-49_1\">Tue<\/label><\/div><div class=\"kb-radio-check-item\"><input class=\"kb-checkbox-style\" type=\"checkbox\"  id=\"fieldcaacdb-49_2\" name=\"fieldcaacdb-49[]\" value=\"Wed\"><label for=\"fieldcaacdb-49_2\">Wed<\/label><\/div><div class=\"kb-radio-check-item\"><input class=\"kb-checkbox-style\" type=\"checkbox\"  id=\"fieldcaacdb-49_3\" name=\"fieldcaacdb-49[]\" value=\"Thu\"><label for=\"fieldcaacdb-49_3\">Thu<\/label><\/div><div class=\"kb-radio-check-item\"><input class=\"kb-checkbox-style\" type=\"checkbox\"  id=\"fieldcaacdb-49_4\" name=\"fieldcaacdb-49[]\" value=\"Fri\"><label for=\"fieldcaacdb-49_4\">Fri<\/label><\/div><\/fieldset><\/div><\/div><\/div>\n\n<\/div><\/div>\n\n<div class=\"kb-adv-form-field kb-adv-form-text-type-input kb-adv-form-infield-type-input kb-field36a0db-1a wp-block-kadence-advanced-form-textarea\"><label class=\"kb-adv-form-label\" for=\"field36a0db-1a\">Your Message<span class=\"kb-adv-form-required\">*<\/span><\/label><textarea name=\"field36a0db-1a\" id=\"field36a0db-1a\" rows=\"3\"  data-label=\"Your Message\" placeholder=\"How can we help you? Please describe the purpose for your visit in this box.\" data-type=\"textarea\" class=\"kb-field kb-textarea-field\" data-required=\"yes\" required aria-required=\"true\"><\/textarea><\/div>\n\n<style>.kb-row-layout-id1589_4c8391-f7 > .kt-row-column-wrap{align-content:start;}:where(.kb-row-layout-id1589_4c8391-f7 > .kt-row-column-wrap) > .wp-block-kadence-column{justify-content:start;}.kb-row-layout-id1589_4c8391-f7 > .kt-row-column-wrap{column-gap:var(--global-kb-gap-md, 2rem);row-gap:var(--global-kb-gap-md, 2rem);padding-top:var(--global-kb-spacing-sm, 1.5rem);padding-bottom:var(--global-kb-spacing-sm, 1.5rem);grid-template-columns:repeat(2, minmax(0, 1fr));}.kb-row-layout-id1589_4c8391-f7 > .kt-row-layout-overlay{opacity:0.30;}@media all and (max-width: 1024px){.kb-row-layout-id1589_4c8391-f7 > .kt-row-column-wrap{grid-template-columns:repeat(2, minmax(0, 1fr));}}@media all and (max-width: 767px){.kb-row-layout-id1589_4c8391-f7 > .kt-row-column-wrap{grid-template-columns:minmax(0, 1fr);}}<\/style><div class=\"kb-row-layout-wrap kb-row-layout-id1589_4c8391-f7 alignnone wp-block-kadence-rowlayout\"><div class=\"kt-row-column-wrap kt-has-2-columns kt-row-layout-equal kt-tab-layout-inherit kt-mobile-layout-row kt-row-valign-top\">\n<style>.kadence-column1589_30805d-53 > .kt-inside-inner-col,.kadence-column1589_30805d-53 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1589_30805d-53 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1589_30805d-53 > .kt-inside-inner-col{flex-direction:column;}.kadence-column1589_30805d-53 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1589_30805d-53 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1589_30805d-53{position:relative;}@media all and (max-width: 1024px){.kadence-column1589_30805d-53 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1589_30805d-53 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1589_30805d-53\"><div class=\"kt-inside-inner-col\"><div class=\"kb-adv-form-field kb-adv-form-infield-type-input kb-field3425a6-69 wp-block-kadence-advanced-form-select\"><label class=\"kb-adv-form-label\" for=\"field3425a6-69\">Insurance<span class=\"kb-adv-form-required\">*<\/span><\/label><select  name=\"field3425a6-69\" id=\"field3425a6-69\" required aria-required=\"true\"><option value=\"\" disabled selected>Select One<\/option><option value=\"I am Insured\">I am Insured<\/option><option value=\"I am not Insured\">I am not Insured<\/option><\/select><\/div><\/div><\/div>\n\n\n<style>.kadence-column1589_ba1eee-59 > .kt-inside-inner-col,.kadence-column1589_ba1eee-59 > .kt-inside-inner-col:before{border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-right-radius:0px;border-bottom-left-radius:0px;}.kadence-column1589_ba1eee-59 > .kt-inside-inner-col{column-gap:var(--global-kb-gap-sm, 1rem);}.kadence-column1589_ba1eee-59 > .kt-inside-inner-col{flex-direction:column;}.kadence-column1589_ba1eee-59 > .kt-inside-inner-col > .aligncenter{width:100%;}.kadence-column1589_ba1eee-59 > .kt-inside-inner-col:before{opacity:0.3;}.kadence-column1589_ba1eee-59{position:relative;}@media all and (max-width: 1024px){.kadence-column1589_ba1eee-59 > .kt-inside-inner-col{flex-direction:column;}}@media all and (max-width: 767px){.kadence-column1589_ba1eee-59 > .kt-inside-inner-col{flex-direction:column;}}<\/style>\n<div class=\"wp-block-kadence-column kadence-column1589_ba1eee-59\"><div class=\"kt-inside-inner-col\"><div class=\"kb-adv-form-field kb-adv-form-infield-type-input kb-field4dde08-9d wp-block-kadence-advanced-form-select\"><label class=\"kb-adv-form-label\" for=\"field4dde08-9d\">How did you hear about us?<\/label><select  name=\"field4dde08-9d\" id=\"field4dde08-9d\" ><option value=\"\" disabled selected>Select One<\/option><option value=\"Search Engine\">Search Engine<\/option><option value=\"Friend \/ Family\">Friend \/ Family<\/option><option value=\"Social Media\">Social Media<\/option><option value=\"Advertisement\">Advertisement<\/option><option value=\"Other\">Other<\/option><\/select><\/div><\/div><\/div>\n\n<\/div><\/div>\n\n<style>ul.menu .kb-submit-field .kb-btn746393-23.kb-button{width:initial;}.kb-submit-field.kb-field746393-23{justify-content:flex-start;}<\/style><div class=\"kb-adv-form-field kb-submit-field kb-field746393-23 wp-block-kadence-advanced-form-submit\"><button class=\"kb-button kt-button button kb-adv-form-submit-button kb-btn746393-23 kt-btn-size-standard kt-btn-width-type-auto kb-btn-global-fill kt-btn-has-text-true kt-btn-has-svg-false\" type=\"submit\"><span class=\"kt-btn-inner-text\">Submit<\/span><\/button><\/div>\n<input type=\"hidden\" name=\"_kb_adv_form_post_id\" value=\"1713\"><input type=\"hidden\" name=\"action\" value=\"kb_process_advanced_form_submit\"><input type=\"hidden\" name=\"_kb_adv_form_id\" value=\"1589_f46660-c3\"><\/form><\/div><\/div><\/div>\n\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>To schedule an appointment, please complete our appointment form on this page, and our Signature Dental scheduling coordinator will contact you to confirm your appointment. Do not use this form to communicate personal information. You can also give us a call using the number below. We look forward to meeting you! Thank you. Appointment Form<\/p>\n","protected":false},"author":1,"featured_media":1093,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"_links":{"self":[{"href":"https:\/\/signaturedentalbayarea.com\/wp-json\/wp\/v2\/pages\/1589"}],"collection":[{"href":"https:\/\/signaturedentalbayarea.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/signaturedentalbayarea.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/signaturedentalbayarea.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/signaturedentalbayarea.com\/wp-json\/wp\/v2\/comments?post=1589"}],"version-history":[{"count":27,"href":"https:\/\/signaturedentalbayarea.com\/wp-json\/wp\/v2\/pages\/1589\/revisions"}],"predecessor-version":[{"id":1830,"href":"https:\/\/signaturedentalbayarea.com\/wp-json\/wp\/v2\/pages\/1589\/revisions\/1830"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/signaturedentalbayarea.com\/wp-json\/wp\/v2\/media\/1093"}],"wp:attachment":[{"href":"https:\/\/signaturedentalbayarea.com\/wp-json\/wp\/v2\/media?parent=1589"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}