Patient Registration Form

Let us know a little about you. You can save time by filling out our patient registration form before coming in for your appointment. To expedite your first visit and help us provide you with the best care possible, we suggest that you please complete the following forms.  You can save the completed form to your computer and email it to us. You can also print the completed form and bring it in with you to your appointment, or you can also send it in by fax. If you have any questions or difficulties then please call our office at 512-258-9007.

*The form requires the latest version of Adobe Reader. The form will not work on most mobile devices, including iPads and iPhones.

Austin Family Orthodontics – New Patient Forms