Make An Appointment

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Parent Name

Email

Phone

Are you a new patient?
—Please choose an option—yesno

Patient Name

Patient Date of Birth

Preferred Date for appointment

Preferred Time for appointment
—Please choose an option—morningafternoon

Preferred Doctor
—Please choose an option—Dr. Elizabeth LeonDr. Laurie BergerDr. Angela MixDr. Ashley GairDr. Rixney Reed

Reason for appointment

By clicking send I agree to email correspondence regarding my child's medical care, appointment reminders, lab results, and insurance and financial matters. I further understand that electronic correspondence does have the potential to be intercepted, and I release West Plano Pediatrics from any liability should this occur.