Make An Appointment

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Parent Name

Email

Phone

Are you a new patient?
---yesno

Patient Name

Patient Date of Birth

Preferred Date for appointment

Preferred Time for appointment
---morningafternoon

Preferred Doctor
---Dr. Elizabeth LeonDr. Laurie BergerDr. Angela MixDr. Ashley GairDr. Elizabeth Adams

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.