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Dental Appointment

Do you need to see one of our providers?

Please fill out this form and we will help you make an appointment that is convenient for you..

Make A Dental Appointment | Haga una cita

This appointment form is NOT for a medical emergency. If you are experiencing a medical emergency, please call 911 or go to the Uvalde Memorial Hospital Emergency Room. If you become ill after normal operating hours, please call our office at 830-278-7105 to speak to a nurse.
Este formulario de cita NO es para una emergencia médica. Si tiene una emergencia médica, llame al 911 o vaya a la sala de emergencias del Uvalde Memorial Hospital. Si se enferma después del horario normal de atención, llame a nuestra oficina al 830-278-7105 para hablar con una enfermera.
Confirm | Confirme(Required)

Patient Information | Información del paciente

Name | Nombre
MM slash DD slash YYYY
Address | Dirección
MM slash DD slash YYYY
Confirm | Confirme(Required)
(Your preferred date and time is NOT confirmed as an Appointment until we contact you) | (Su fecha y hora preferidas NO se confirman como una cita hasta que nos comuniquemos con usted)