Patient Forms

Before your first appointment with us, we encourage you to complete the forms linked below. This will save time in the office and help us get started on your care as quickly as possible.

If you are using the online forms, please complete and submit the forms via this website. If you are printing the forms, please print and complete the forms, and bring them to your appointment.

Online Forms

Printable Forms

Referring Doctors


adobe download*These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.

**We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

***For Apple/Mac Users: You must use Adobe Acrobat Reader to submit the forms. To do so, simply right click on the form and save form. Open form in Acrobat Reader, fill out the form and submit.

Lone Star Pediatric Dental & Braces

  • North Austin Office - 8716 Research Blvd., #125, Austin, TX 78758 Phone: (512) 454-4646 Fax: (512) 419-0561
  • Central Austin Office - 1015 W. 34th St., Austin, TX 78705 Phone: (512) 206-2929 Fax: (512) 206-2920
  • South Austin Office - 2700 S. 1st St., Austin, TX 78704 Phone: (512) 442-4338
  • Bee Cave Office - 14058 Bee Cave Pkwy. Building D, Suite B, Austin, TX 78738 Phone: (512) 402-9996 Fax: (512) 402-9986
  • Belton Office - 412 Lake Rd., Belton, TX 76513 Phone: (254) 933-7760 Fax: (254) 933-7983
  • Circle C Office - 5900 W. Slaughter Lane, Suite 470C, Austin, TX 78749 Phone: (512) 288-1900
  • Dripping Springs Office - 2440 E. Hwy. 290, Building C, Suite B, Dripping Springs, TX 78620 Phone: (512) 858-0232
  • Elgin Office - 250A Hwy. 290 W., Elgin, TX 78621 Phone: (512) 285-9868 Fax: (512) 933-7767
  • Killeen Office - 1103 W. Stan Schlueter Loop, Building B, Suite B-800, Killeen, TX 76549 Phone: (254) 519-1590 Fax: (254) 519-1570
  • Kyle Office - 575 E. Fm 150 Suite #P, Kyle, TX 78640 Phone: (512) 268-3600 Fax: (512) 268-3607

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