Amy Bordelon, DDS
Creating Beautiful Smiles
Call: (337) 942-3221

Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

Office Hours:

  Mon:   7:30am - 3:00pm 
  Tues:   7:30am - 3:00pm 
  Wed:   7:30am - 3:00pm 
  Thurs: 7:30am - 3:00pm 

  CLOSED FOR LUNCH EACH DAY 11:30-12:00

*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.