Not Done Yet!

Thank you for completing our form for the release of your dental records!

In order for us to release your dental records, you must upload a valid photo ID (such as a driver's license or passport) using the form below.

If you need anything else or have any additional questions, please feel free to contact us directly by telephone during our normal business hours: 281-678-8344 or by email using our website Contact Form.

At Autumn Family Dentistry, we treat all of our patients like family and strive to provide the highest standards of care. We never push unnecessary treatment and stand by our work 100%.