Request an Appointment

You can use the appointment request form to schedule a time to come in so we can help with your oral health needs.

For Tuesday appointments, please call 903-984-1108.

A staff member will contact you to confirm receipt of your request. Once you are contacted by an administrator, your requested appointment time will be scheduled if available. If the appointment time requested is no longer available, we will schedule a time that works for you. Completing an appointment request does not guarantee that the time selected will be available in the schedule once you are contacted by an administrator.

Request an Appointment

Name(Required)
Email(Required)

Appointment Details

First Choice
MM slash DD slash YYYY
Second Choice
MM slash DD slash YYYY
Third Choice
MM slash DD slash YYYY
Preferred Time
Select a time
:
Maximum of 250 characters
This field is for validation purposes and should be left unchanged.