DENTAL ASSOCIATES of Houston
Jeremy Wade Chance, DDS
Call: (713) 666-0003

Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

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Office Hours:

Monday           7:30am - 4:00pm

Tuesday          7:30am - 4:00pm

Wednesday     7:30am - 4:00pm

Thursday         7:30am - 4:00pm

Friday              8:00am - 2:00pm

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.
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