Request an Appointment Fill out the form below and we will contact you during our working hours. If you have a dental emergency, please call (817) 561 9000 First name Last Name Phone Number Email Are you a current patient? Are you a current patient?YesNo Preferred day(s) of the week for an appointment? Any DayMondayTuesdayWednesdayThursdayFridaySaturday Preferred time(s) for an appointment? Any TimeMorningAfternoon Reason for Visit? Δ