JR Gonzalez DDS - Dentists in Irving, Las Colinas and Valley Ranch

Personalize Your Visit

Our goal is to make your time with us as comfortable and relaxing as possible. By answering the following questions, we are able to help make your visit with us a pleasant experience.

To request an appointment, please fill out the following information. Our scheduling coordinator will call you to discuss your appointment.

Schedule Appointment Details

What day of week do you prefer? *
Do you prefer a morning or afternoon appointment? * Morning Afternoon Either
Is there a specific date you would like to schedule for? * - or - No Specific Date
What type of dental appointment would you like to schedule for? *
Name *
Email *
Phone *

Appointment requests may be submitted without filling out the remaining questions. The following questions will help us personalize your visit.

Personalize Your Visit (Optional)

When having your teeth polished, what flavor paste do you prefer?
What flavor lip balm do you prefer?
When treatment is completed, would you like to have a bottled water ready for you at the check-out counter? Yes No

These questions will give our office a start with personalizing your visit with us. Once you are at our office, we may ask a few more questions that will allow us to personalize your visit even more. Thank you for your time and for your interest in our office.