New Pediatric Appointment Request

Parents/Guardians may request a new medical or dental pediatric patient appointment using the form below, or you may call us at (940) 766-6306. Once you have completed the form and submitted it to us you will be contacted by phone no later than the next scheduled business day.

This form is for new medical and dental pediatric patients only. Parents/Guardians of established Community Healthcare Center pediatric patients must request an appointment by using the patient portal or by calling (940) 766-6306.