Patient Forms

Welcome to our Pediatric Dental Practice

We know how stressful it can be to manage your child’s schedule, which is why our team works to make pediatric dental visits as convenient and comfortable as possible. With over 40 years of experience, John B. Witte, DDS, PC has developed gentle, effective methods tailored to children to ensure they feel safe and confident during every visit. Here’s everything you’ll need to know for your child’s first appointment.

New Patient Information

At John B. Witte, DDS, PC, we’re dedicated to providing exceptional pediatric oral health care to families in the DFW area. Our dental office focuses exclusively on children, offering preventive care, routine checkups, restorative dental treatments, and emergency visits. Our experienced dental team ensures each appointment is comfortable, calming, and centered around your child’s unique needs. Whether your child needs a routine cleaning or urgent attention, our Arlington team is here to support their healthy smile with compassion and professionalism.

Selecting the Best Pediatric Dental Practice in Arlington

Choosing the right pediatric dentist involves considering experience, child-friendly care approaches, and the range of services offered. Our office is committed to providing comprehensive oral care for children of all ages—from infants to teens. We offer routine exams, cleanings, restorative care, and behavior-guided dentistry techniques, all delivered by friendly professionals devoted to making each child feel at ease. Trust us to create a warm, educational, and supportive environment for your children’s dental needs.

First Visit

During your child’s first visit, Dr. Witte asks that school-aged children be scheduled between 9:00 AM and 2:30 PM to allow enough time to review their dental health, X-rays, and any recommended treatment. Preschool-aged children are scheduled for the morning hours, when they are typically well-rested. If you need to cancel or reschedule, please call at least 24 hours in advance.

For a routine first appointment, you can expect:

Children 0–3 years old: A gentle exam of the teeth, gums, and bite with Dr. Witte and parent together

Children over 3½ years old: Cleaning, fluoride treatment, necessary X-rays, and a comprehensive evaluation by Dr. Witte.

After the exam, Dr. Witte will discuss his findings, any treatment recommendations, and his friendly front office staff will discuss scheduling and costs.

If treatment is needed. Families seeking emergency pediatric dental care may contact us any day—we strive to provide timely assistance.

For a routine first appointment, here’s what you can expect:

Children 1-3 years old will have their teeth, gums, and bite examined.

Children over the age of 3 and ½ will undergo cleaning, fluoride treatment, x-rays, and a thorough evaluation by Dr. Witte.

We’ll then discuss our findings and carefully go over any potential treatment plans and costs.

We work our hardest to make your child feel comfortable, so please allow about 45-90 minutes per appointment. Dentist appointments are an excused absence, so we will gladly write your child a pass for any missed school.

Payment Information

Most dental insurance plans will cover the majority of the cost of dental care, but there is a patient co-payment due for most services. Your child’s health is our priority, so we’ll discuss payment options with you before scheduling treatment. At John B. Witte, DDS, PC, we accept most major credit cards, CareCredit, PPO insurance plans, and Medicaid / Chip plans. We will collect your estimated co-payment due at the time of your child’s appointment and if there is a remaining balance due upon receipt of payment from your insurance carrier we will send you a statement. You are welcome to pay online, call our office to process payment by phone, or mail in your payment.

To make a payment online, click here.

Patient Forms

To make your appointment as quick and easy as possible, please print and fill out the Parent Information, Acknowledgment of HIPAA, and Financial Policy forms prior to your visit and bring them to your appointment.

A separate New Patient History form is required for each child.

The Notice of Privacy Practices Form does not need to be brought to your appointment, but we have made it available to review for your convenience.

New Patient Registration/Policies--one per family

New Patient History--one per child

Health History Update--one per child

Ready to schedule your child’s first appointment? Give us a call today at 817-784-1000 today!

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