APPOINTMENT FORM

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone at (979) 776-4843 or complete the appointment request form. Our scheduling coordinator will contact you to confirm your appointment. Please do not use this form to cancel or change an existing appointment.

​

Note: Messages sent using the appointment request  form are not considered private. Please contact our office by telephone if sending highly confidential or private information. Please do not use this form to cancel or change an existing appointment.