Book a Dental Appointment Online - Monarch Dental & Orthodontics

Step 2 of 3 - Patient Info

First Name

Last Name

Date of Birth

For children younger than 5 years of age, please call the office at (325) 691-1980 to schedule an appointment.

Patient Gender

Please enter a valid email

Mobile Phone

Please enter a phone number with exactly 10 digits

Address

City

State

Zip Code

Yes, I'd love to learn more about Clear Aligners! Yes, I need a disability accommodation.

Step 3 of 3 - Insurance Info

My insurance information has not changed since my last visit

Insurance Company

Subscriber ID

Employer Name

Relationship To Insurance Subscriber

Subscriber First Name

Subscriber Last Name

Subscriber Date of Birth

Subscriber Gender

Insurance address is different than address entered on previous step

Subscriber Address

Subscriber City

Subscriber State

Subscriber Zip Code

Book Now