Patient Forms

Save time at your visit by completing your forms online. Whether you are a new patient or an existing patient, you can use the secure links below to fill out your information before you arrive at Austin City Dental.

New Patients

If you are a new patient, please complete the New Patient Registration form. It includes all of the information our team needs to prepare for your first visit.

• New Patient Registration

Additional Forms

These forms are used in specific situations and may be requested by our team as part of your care.

• Records Release Form – Request or transfer your dental records.
• Radiograph Refusal Form – Document your decision to decline dental X-rays.

Consent Forms

If your treatment requires consent, our team will direct you to the correct form below. Completing these online helps keep your visit on schedule.

• Main Treatment Consent
• Nitrous Oxide (Laughing Gas) Consent
• Oral Sedation Consent
• Oral Surgery Consent
• Periodontal (Perio) Treatment Consent
• Endodontic (Root Canal) Consent
• KoR Whitening Consent
• Xeomin Consent

Online Forms Only

To keep check in fast and reduce time spent on paperwork in the office, we ask that patients complete all forms online whenever possible. If you need assistance or prefer to complete forms in our office, please call us at (512) 451-8256 and our team will be happy to help.