SCHEDULE YOUR BRACES ADJUSTMENT OR COMFORT VISIT

For non-routine visits, please complete the “REASON FOR VISIT” section.

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The date 6 weeks from today is:
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Appointments

September 2022

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September 26, 2022

9:00 AM

9:30 AM

10:00 AM

10:30 AM

11:00 AM

11:30 AM

1:00 PM

1:30 PM

2:00 PM

2:30 PM

3:00 PM

3:30 PM

4:00 PM

4:30 PM

September 27, 2022

9:00 AM

9:30 AM

10:00 AM

10:30 AM

11:00 AM

11:30 AM

1:00 PM

1:30 PM

2:00 PM

2:30 PM

3:00 PM

3:30 PM

4:00 PM

September 29, 2022

9:00 AM

9:30 AM

10:00 AM

10:30 AM

11:00 AM

12:30 PM

1:00 PM

1:30 PM

2:00 PM

2:30 PM

3:00 PM

3:30 PM

4:00 PM

September 30, 2022

9:00 AM

9:30 AM

10:00 AM

12:30 PM

1:00 PM

1:30 PM

2:00 PM

2:30 PM

3:00 PM

3:30 PM

4:00 PM
PATIENT NAME*
EMAIL*
REASON FOR VISIT/NOTES (FOR NON-ROUTINE VISITS)

LOCATION

17111 West Rd, Suite 101
Houston, TX 77095

HOURS

9:00 AM – 5:00 PM M, Tu, Th, Fri (dentist + ortho)
8:30 AM – 11:30 AM Sat (ortho only, by appt)

CONTACT

Phone: (832)377-5887 (call or text)
Email: FrontDesk@ZLSmiles.com

😄 SCHEDULE A FREE BRACES CONSULTATION 😄

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