Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our dental office by phone @ 281-394-7581 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. .

Save Time! Click Here to download our new patient registration forms prior to your appointment.


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.

Ready for your first appointment?