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</div></div></div></div><div class="s dark footer wf-section"><div class="c center"><a href="/" class="footer-link w-inline-block"><img src="https://assets.website-files.com/5dd4171116d5e60771e798dd/5dd4171116d5e62fc8e79917_Footer_Logo.svg" width="260" alt="Greenway Family Dental"/></a><div class="text-block-3"><a href="https://goo.gl/maps/aMNTNuFTtKN2Vtoo8" target="_blank" class="link-7">8215 Greenway Blvd #100<br/>Middleton, WI 53562</a><br/><a href="tel:+16088276453" class="link-7">608.827.6453</a></div><div class="social-links"><a href="https://www.facebook.com/GreenwayFamilyDental/" target="_blank" class="link-block-2 w-inline-block"><img src="https://assets.website-files.com/5dd4171116d5e60771e798dd/5dd4171116d5e6476be7991a_FB.svg" alt="Facebook" class="image-5"/></a><a href="https://goo.gl/maps/aMNTNuFTtKN2Vtoo8" target="_blank" class="link-block-3 w-inline-block"><img src="https://assets.website-files.com/5dd4171116d5e60771e798dd/5dd4171116d5e69567e7991b_Location.svg" alt="Get directions" class="image-5"/></a></div></div><div class="appt"><div class="appt-box"><h2>Request An Appointment</h2><div class="form-block w-form"><form id="wf-form-Appointment-Request" name="wf-form-Appointment-Request" data-name="Appointment Request" class="form"><p class="paragraph-11">Please call <a href="tel:+1" class="appt-phone-link">(608) 827-6453</a> or use the form below to schedule your appointment.</p><label for="Name-3" class="sr">Name:</label><input type="text" class="input w-input" maxlength="256" name="Name" data-name="Name" placeholder="Name" id="Name-3"/><label for="Phone-3" class="sr">Phone Number:</label><input type="text" class="input w-input" maxlength="256" name="Phone" data-name="Phone" placeholder="Phone" id="Phone-3"/><label for="Email-3" class="sr">Email Address:</label><input type="text" class="input w-input" maxlength="256" name="Email" data-name="Email" placeholder="Email" id="Email-3" required=""/><label for="Schedule-3" class="sr">Preferred Dates & Times:</label><input type="text" class="input w-input" maxlength="256" name="Schedule" data-name="Schedule" placeholder="Preferred Dates & Times" id="Schedule-3"/><label for="Message" class="sr">Message:</label><div class="new-patient-check"><label class="radio-button-field-3 w-radio"><input type="radio" data-name="Patient" id="New Patient" name="Patient" value="New Patient" required="" class="w-form-formradioinput radio-button-2 w-radio-input"/><span for="New Patient" class="w-form-label">New Patient</span></label><label class="radio-button-field-3 w-radio"><input type="radio" data-name="Patient" id="Existing Patient" name="Patient" value="Existing Patient" required="" class="w-form-formradioinput radio-button-2 w-radio-input"/><span for="Existing Patient" class="w-form-label">Existing Patient</span></label></div><div class="bh"><input type="submit" value="Send Message" data-wait="Please wait..." class="b white w-button"/><a href="#" data-w-id="169550a7-9787-6e91-1e24-e2e83c3b7ab4" class="b white w-button">Cancel</a></div></form><div class="success-message w-form-done"><div class="text-block-2-copy">Thank you! Your request has been received. We will call or email you to confirm your appointment date and time. To speak with someone right away, please call our office.</div><div class="bh"><a href="#" data-w-id="169550a7-9787-6e91-1e24-e2e83c3b7aba" class="b white w-button">Close</a></div></div><div class="w-form-fail"><div>Oops! Something went wrong while submitting the form.</div></div></div></div></div></div><script src="https://d3e54v103j8qbb.cloudfront.net/js/jquery-3.5.1.min.dc5e7f18c8.js?site=5dd4171116d5e60771e798dd" type="text/javascript" integrity="sha256-9/aliU8dGd2tb6OSsuzixeV4y/faTqgFtohetphbbj0=" crossorigin="anonymous"></script><script src="https://assets.website-files.com/5dd4171116d5e60771e798dd/js/greenway-family.91861ff54.js" type="text/javascript"></script><!--[if lte IE 9]><script src="//cdnjs.cloudflare.com/ajax/libs/placeholders/3.0.2/placeholders.min.js"></script><![endif]--><script src="//dynamic.s8e8.com/shared/navbar.js"></script> <!-- Google Tag Manager (noscript) --> <noscript><iframe src="www.googletagmanager.com/ns.html?id=GTM-K578K65" height="0" width="0" style="display:none;visibility:hidden">