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Last Name
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Phone Number
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Treatment of Interest
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Dental Implants
Wisdom Teeth Removal
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Have you scheduled an appointment with us before?
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Yes - I am an existing patient.
No - I am a new patient.
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By submitting this form and signing up for texts, you consent to receive text messages related to scheduling your appointment and related promotional offers from West Texas Eye Associates at the number provided, and agree that any associated call(s) may be recorded for quality and training purposes. Consent is not a condition of purchase. Message and data rates may apply. Message frequency varies. Unsubscribe at any time by replying STOP. Reply HELP for help. The practice will use your personal information in accordance with its privacy policy which can be found here: Click for
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