Appointment Request


Submit a Request for an Appointment 

Your healthy, beautiful smile begins with your initial visit to Couchman Center for Complete Dentistry. As your dentist in Colorado Springs, we will improve your oral health and boost your self-confidence. To schedule an appointment, please call us, or fill out the form below. We know that you are busy and that a dentist visit takes valuable time. Couchman Center for Complete Dentistry is committed to giving you dental care at times that are convenient for you.

Please do not use this form to cancel or change an existing appointment.


Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

WE LOOK FORWARD TO HELPING YOU ACHIEVE YOUR GOALS FOR A BEAUTIFUL, HEALTHY SMILE!

Connect With Us

Ready to come in for an appointment?
Contact us today!

Couchman Center for Complete Dentistry
Creating Beautiful Smiles

The team at Couchman Center for Complete Dentistry have been dedicated to excellence in general & cosmetic dentistry services since 1976. When you look for a Colorado Springs Colorado dentist choose Couchman Center. .

Couchman Center for Complete Dentistry
5145 Centennial Blvd., Suite 100 Colorado Springs, Colorado 80919
Phone: (719) 593-0263 URL of Map