Request an Appointment — Bathina Endodontics

Experiencing severe pain, swelling, or a dental emergency? Call us directly at (512) 657-4096 — we'll prioritize your case.

Your deposit is fully applied toward your treatment cost. Cancellations within 24 hours of your appointment forfeit the deposit.

I understand the 24-hour cancellation policy.

Deposit received. Your $100 deposit will be applied to your treatment cost. Please complete the form below to submit your request.

Online deposits are not yet configured. To request an appointment, please call us directly at (512) 657-4096 — our team will be happy to assist.

Patient Information

Full Name *

Phone Number *

Email (optional)

Referring Dentist (optional)

Visit Details

Reason for Visit *

Preferred Appointment Time

Preferred Date *

Preferred Time *

Morning

8am – 12pm

Afternoon

12pm – 5pm

Alternate date (optional — helps us find the best slot)

Morning

8am–12pm

Afternoon

12pm–5pm

Additional Notes (optional)

This is a dental emergency — contact me urgently

After you submit this form, our team will review your request and call or email you within 1 business day to confirm your appointment time.

If you're experiencing severe pain, swelling, or trauma, don't wait for online booking — call us right away.