Patient Information


Patient Information

You can click the links below to access and fill out forms online...

New Patient Questionaire

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 Forms

Patient 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.

Dental services

Contact Information
new address

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


Business hours are from 8:00 to 4:00 Monday - Friday Dr. Waghalter requires 48 hour notice for cancellation.


Financing available through Springstone Financial and Care Credit. 

Copyright © 2014. Dr. Richard B. Waghalter, DDS. Privacy Policy | Terms of Use

Website designed by Web Design Houston