Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please complete the appointment request form below or contact our office by phone at 956-781-3335. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: If you are a new patient to our office, you may fill out our Online Patient Registration and Medical/Dental History forms. Filling out these forms ahead of time will speed up the registration process. Thank you and please call our office if you have any questions.

Existing patients can also complete the medical/dental history form to share any updates with our office.

Online Patient Registration

Medical/Dental History

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Contact Us. We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.