Request Appointment - RoA Dental Studio

New & Returning Patients Welcome

Let’s Schedule Your Visit

Tell us a little about yourself and Dr. Lee’s team will reach out to confirm your appointment.

Whether you are a new patient or returning to RoA Dental Studio, we are happy to help. Complete the form below with your preferred day and time, and our team will contact you to find a time that works. We welcome patients of all ages, and most insurance plans are accepted.

Experiencing a dental emergency? Please call us at 469-877-2200 rather than using the form.

Request Appointment Form

Contact form for patients to fill out to request a specific appointment time.

Name(Required)

First Last

Email(Required)

Phone(Required)

Preferred Appt Date(Required)

Preferred Appt Time(Required)

Are you a new patient?(Required)

Reason for Appointment(Required)

Do you have any specific concerns or questions?

Do you require special accommodations?

Do you have insurance?(Required)

Yes

No

Provider

Policy #

How did you hear about us?(Required)