Patient Appointment Request

DDAR LOGOPlease use the form below to send us a message requesting an appointment in the Oral Health Clinic.  We will respond as soon as possible to your request!

We look forward to meeting you soon and taking care of your oral health needs!

You may also contact us by calling  501-526-7619.


  • Name * Required
  • Are you a new patient to the Oral Health Clinic? * Required
  • What kind of appointment do you need? * Required