Petite Dental & Orthodontics

New Patient Forms

In order to streamline your child's first dental visit at our office, please review our office policies:

Pediatric Dental Patient Registration

General Consent Form

Patient Management Policy

Consent for Treatment

Financial Responsibility Form

Notice of Privacy Practices

After reading our office policies, if you are coming for a Pediatric Dental Exam, please fill out the New Dental Patient Registration and General Consent Form below and return them to us prior to your child's scheduled appointment:

If you are coming for an Orthodontic Evaluation, please fill out the Orthodontic Patient Registration form below and return to us prior to your scheduled appointment:

Orthodontic Patient Registration

512-280-2266

~Board Certified Pediatric Dentists & Orthodontist~

New Patient Forms