The Smile Maker initiative was presented to the Waypoint Board in February 2019, and a prospectus was developed in March 2019. Clarice and Wally then approached Michael Cunningham, CEO of AHEC, with the idea since, at the time, AHEC was providing in-school dental exams and sealants to children in the Keys. Michael agreed and a memorandum of understanding between AHEC and TWF was signed on March 30, 2019: TWF to procure the MDC, AHEC to provide staff and operate.