Contacting Our Office

Should you decide to give us the opportunity to meet you personally, please feel free to call us at:

(972) 566-7727

Fax (972) 566-6105

We can also be contacted at dr.bloom@live.com.

If you would like more information about procedures, our office, my staff, or me, please complete the form below.

Please Note: Do not use this form for emergency purposes!

Your Name Street Address Address 2   (Suite or PO Box) City State    Zip Code Country United States Canada Mexico United Kingdom Ireland France Italy Denmark Russia Brussels Netherlands Greece Turkey Israel Monaco Switzerland Sweden Germany Japan Singapore China - Hong Kong Korea Malasia Brazil Columbia Carribean Peru Argentia Other Phone Ext. or Direct # Fax E-Mail Address Are you currently a patient: Yes No If not, how did you hear about our practice:  Referral from friend/co-worker Physician Advice Web Search Other Use the space below for your questions & comments:   Having a hard time reading? Move your mouse over the speaker...