Jeff Colquitt, DDS
Cosmetic, Implants, TMJ & Family Dentistry
Creating Beautiful Smiles

Appointment Request

Schedule a Dentist Appointment in Dallas


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

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

Office Hours:  Monday thru Thursday from 7:30 - 4:30

New Patient Visit:  Please arrive 15 minutes prior to your appointment so that you can fill out new patient paperwork. 

Cancellation Policy:  Please contact us within 24 hours of your appointment if you will be unable to make your scheduled 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: 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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