Pediatric Dentist in Austin TX
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Our pediatric new patient forms are in PDF format, which can be read using Adobe Acrobat Reader. If you do not have this, please click here to get a free copy. Once you have Acrobat Reader, click on the links below to download the forms. You may then print them, fill out, and bring them with you at your first visit. Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign, and bring with you as well.

Acquaintance Record
Authorization to Treat
Financial Policy
Acknowledgement of Receipt (of Notice of Privacy Practices)