4021 Rhea Rd | Wichita Falls, TX 76308 | 940 613-0210

First Visit

Family in a circle
New Patient Forms
Type in child’s name and select any date you’d like, even today’s date. When we call, you will have a chance to discuss appointment date

We will no longer be filing any sort of secondary insurance starting October 1 but you must still tell us about it in full detail. See our Home page

Our office, as well as the The American Academy of Pediatrics (AAP), the American Dental Association (ADA), and the American Academy of Pediatric Dentistry (AAPD) all recommend establishing a "Dental Home" for your child by one year of age. Children who have a dental home are more likely to receive appropriate preventive and routine oral health care.

The Dental Home is intended to provide
a place other than the Emergency
Room for parents.

You can make the first visit to the dentist enjoyable and positive. If old enough, your child should be informed of the visit and told that the dentist and their staff will explain all procedures and answer any questions. The less to-do concerning the visit, the better.

It is best if you refrain from using words around your child that might cause unnecessary fear, such as "needle," "shot," "pull," "drill" or "hurt." The office makes a practice of using words that convey the same message, but are pleasant and non-frightening to the child.

We invite you to stay with your child during the initial examination. During future appointments, we suggest you allow your child to accompany our staff through the dental experience. We can usually establish a closer rapport with your child when you are not present. Our purpose is to gain your child's confidence and overcome apprehension. However, if you choose, you are more than welcome to accompany your child to the treatment room. For the safety and privacy of all patients, other children who are not being treated should remain in the reception room with a supervising adult.

We strive to make each and every visit to our office a fun one!


Financial Guidelines
For your information, here is your copy of the financial guidelines in Adobe pdf format.

It is your responsibility to confirm your child's appointment with our office by phone, texting or emailing us, making sure we have 2 working phone numbers. As a condition of treatment by this office, pay at the time of services or by providing verifiable dental insurance information in the new patient paperwork. Understand that all dental services are charged directly to the patient. The guardian(s) are personally responsible for payment of all dental services. This office will help prepare the patient's insurance forms or assist in making collections from insurance companies and will credit any collections to the patient's account; however, we cannot render services on the assumption that our charges will be paid by an insurance company.

Should you wish to access your account, you may login to see more information about your forms. We use your phone numbers and email addresses to provide you with excellent treatment by sending the child's appointment time to you electronically to the mobile phone number we have on file. We respect the privacy of personal health information and take securing your and your patients' data seriously. HSPS and Smilesavvy services are HIPAA ready and enable practices using the system to comply with its obligations as a Covered Entity. We may disclose Patient Health Information (PHI) to third parties that perform services for Children's Dentistry of Wichita Falls in the administration of your benefits in accordance with HIPAA. These parties are required by law to sign a contract agreeing to protect the confidentiality of your PHI. Your PHI may be disclosed to an affiliate that performs services for Children's Dentistry of Wichita Falls in the administration of your benefits. Our affiliates do not sell, share or rent our users' personally identifiable information unless required by law, do not send any e-mail or other communications without user permission, and do not send spam. By signing our appointment and financial guidelines you agree to allow HSPS and Smilesavvy to use this information in providing your child services. You may always sign a form in our office to discontinue or decline text or email reminders.