Request an Appointment

A smile is a reflection of you! The first step toward achieving a beautiful, healthy smile is to schedule an appointment with Greater Houston Orthodontics. To schedule an appointment, please complete and submit the request form below. We also offer online booking for new patients to schedule their free smile exam – just click the orange button below to get started!


New Patients: click here to schedule your free smile exam online!


Existing Patients

Please note this form is for requesting an appointment. If you need to cancel or reschedule an existing appointment, or if you require immediate attention, please contact our practice directly.

    Patient Name *

    Parent Name


    Phone *

    Type of Appointment

    Preferred Location *

    Preferred Date *

    Preferred Time *


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