Schedule an Appointment

We want scheduling at Dr. Butler’s Family Dental Office to be easy and fast. Fill out our online form!

  1. Please fill out the form to request an appointment and then click “submit.”
  2. Our staff will contact you soon to schedule an appointment. In light of COVID-19, response time may be delayed. We apologize for the inconvenience!
  3. If you prefer to schedule an appointment over the phone, or if this is an emergency request, call us at (281-980-3222). Please do not use this form for emergencies or to cancel or change an existing appointment.

First Name (required)

Last Name (required)

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Your Phone Number (required)

Are you a new patient?

Birthdate

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Date:
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Appointment Details

I am interested in:

Scheduling an appointment

Best time for appointment:

MorningAfternoon

Preferred day of the week:

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Anything you would like us to know about your visit?

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