Book An
Appointment

Yay! We’re thrilled you’re considering The Beach House Pediatric Dentistry & Orthodontics for your child’s smile needs. To schedule an appointment, give us a call at (281) 778-4008 or fill out the form below.

cute girl holding her braids with her hands

Appointment Request Form

Please fill out the form with your information and then click “submit.” One of our friendly team members will contact you to schedule your child’s appointment.

Patient's Name(Required)

First Last

Responsible Party Name(Required)

First Last

Relationship to Patient(Required)

Email Address(Required)

Best Contact Number(Required)

Preferred Time(Required)

How did you hear about us?

How many people are you making appointment for?(Required)

Please enter a number less than or equal to 10.

Medical Considerations and additional information(Required)