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Appointment Request

Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Office Hours - Murphy:
Monday - Thursday 9:00am - 4:30pm
*Lunch is taken from 1:00pm - 2:00pm 

Office Hours - Dallas:
Monday - Thursday 9:00am - 4:00pm
*Lunch is taken from 1:00pm - 2:00pm


Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Are you a current patient?


Which office location(s) would you prefer for your appointment?


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.):

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Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

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Office Locations

  • Murphy
  • 120 E. FM 544
  • Suite 78
  • Murphy, TX
  • 75094
  • Map & Directions
  • Call: (972) 881-0715
  • Dallas
  • 2244 S. Buckner Blvd.
  • Suite B
  • Dallas, TX
  • 75227
  • Map & Directions
  • Call: (214) 381-0663