You can click the links below to access and fill out forms online...Patient Login Or...if you prefer you can download and print forms below to bring with you to your appointment and save time.
Print Patient FormsPatient Registration Form Dental History Form Patient Privacy Form
It's Not Business; It's Personal
Patients choose to visit my office for a variety of reasons; the decades I spent teaching periodontics , the fact that I am able to fix complex conditions or because they have see the wonderful results I have achieved for a friend. Most patients return to my office for one important reason: I make them comfortable. You get answers to all your questions, we'll plan treatment together so it meets your needs, and my staff and I do all we can to help you relax and enjoy your visit.
Richard B Waghalter, D.D.S Healthy Smiles of Houston 5959 West Loop South, Suite 640 Bellaire, TX 77401
Telephone: 713-771-7101 FAX: 713-771-7102
Financing available through Springstone Financial and Care Credit.