Waxahachie Dentist New Patient Information

For your convenience, we now offer forms online. Please print, fill out, and bring with you to your next appointment!


New Patient Questionnaire

Insurance Information

No Show Policy

Notice of Privacy Practices

To All Our Delta Dental Patients

 

Insurance Information

We work with all insurance companies.

Appointment request
Need an appointment with a dentist in Waxahachie ? Requesting an appointment at our Waxahachie, TX family and cosmetic dental office is now easier than ever. Fill out the form below and we'll contact you to find a time that fits your schedule. Start your journey towards a beautiful smile with us today!
Patient Name*
Phone Number*
Email Address
Are you a current patient?
Best time(s) to call?
Preferred Appt Date
Preferred Appt Time
Message
Describe the nature of your appointment or any other comments