Call: (281) 251-3530
M. Todd Bonin, DDS - Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment.

The best way is to contact our office personally by phone at 281-251-3530.  We will happily accommodate your scheduling needs and requests at that time.

FILLING OUT THIS FORM DOES NOT MAKE YOUR APPOINTMENT!  It's just a request and must be confirmed verbally either by you or one of my staff members.  Sometimes, it may be several days before emails and appointment forms are checked and answered. Also, please keep in mind, depending on your email provider and service, sometimes these request get spammed or junk mailed beyond my control. It is always best to follow up your online request with a call to our office at 281-251-3530.

Please do not use this form to cancel or change an existing appointment.

Items in bold are required.
Are you a current patient?
Best time(s) to call?
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.):

Note: Messages sent using this form are not considered private. Please do not send highly confidential or private information.