Appointment Request

appointment request

The first step toward achieving a beautiful, healthy smile is to schedule an appointment. To schedule an appointment, please complete and submit the request form below. Our scheduling coordinator will contact you soon to confirm your appointment.

If you are a new patient and would like to schedule an orthodontic consultation with Dr. Gupta please call our office during regular business hours at 972-473-3000.  You may also immediately book an appointment online using ZocDoc by clicking on the "Book an Appointment" button below.  Please note that there may not be a new patient consultation available for up to two weeks.  If you need to be seen sooner, please call our office and we will try to accommodate your schedule.


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


Contact Information:

Bold fields are required.

Please provide the patient's name

Appointment Preferences:

Which day(s) of the week are you available?

Which time(s) of the day are you available?