Call Us: 940.692.0321
940.692.0321
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2211 Midwestern Pkwy, Suite #5,
Wichita Falls, TX 76308

Forms

New Patients Form

Click on the link below to download the New Patient form. Then print the form, fill it out, and bring it with you on your first visit.
Patient Registration (PDF)

Consent Forms

Consent for Endodontic (Root Canal) Therapy (Web Page)Consent for Extraction (Web Page)

Payments & Insurance

We accept assignment on all dental insurance companies. Patients are responsible for their part of payment at the time service is rendered. All insurance companies are different and our quotes are estimates of what they will pay and are not guaranteed.

We accept all PPO insurance.

We also offer Care Credit to help with extensive treatment plans. Approval required.

Vist Care Credit Now for details and pre-qualify for their services.

Feel free to Contact  our office if you have any concerns or questions regarding your insurance company or payments.