Request an Appointment at Our Indy Southside Dental Clinic

It's never been easier to request an appointment at our Indy Southside dental clinic. With the help of our simple online form below, all you'll need to do is fill it out and someone from our team will contact you to accomodate your schedule to pick the best date and time for your visit. Please remember that this form is only a request for an appointment date - our team will reach out to you and confirm your visit.


If you have any questions, concerns, or would like to schedule an appointment over the phone, give Fairview Family Dental a call today at (317) 887-0888.

Patient Information (* denotes fields that are required)
Patient Name*
Phone Number*
Email Address
Are you a current patient?
No Yes
Best time(s) to call?
Morning Noon Afternoon Evening
Appointment Information
Preferred Appt Date
Preferred Appt Time
Describe the nature of your appointment or any other comments