Patient Forms

At Austin Institute of Dental Medicine, we’ve streamlined our documentation process to make it as convenient and secure as possible. Our digital patient forms are designed to save you time, protect your privacy, and ensure we have the accurate information needed to provide exceptional care.

If you have questions about our process or want to make an appointment, contact our Austin dental office to get started.

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Essential Patient Forms

The following forms are available through our secure portal or as downloadable PDFs that can be completed before your visit:

  • New Patient Registration
  • Medical & Dental History
  • Consent Forms

Specialized Treatment Forms

Sometimes you need to complete more than just the basic forms. We may require some of the following forms. We will tell you before your visit if we need any of these additional forms completed:


Sedation Questionnaire

Additional health questions for patients receiving sedation

Surgical Consent

Detailed information about risks and benefits of surgical procedures

Orthodontic Contract

Terms and payment schedule for orthodontic treatment

Records Release

Authorization to obtain records from or send records to other providers

Membership Plan Enrollment

Registration for our in-house dental savings plan

Third-Party Financing Application

Forms for CareCredit or other payment plans

In-Office Assistance

While we encourage completing forms in advance to reduce waiting time, we understand that some patients may prefer assistance with their paperwork. Our front office team is always available to help you complete your forms during your visit. We can also provide:

  • Forms in large print for those with visual impairments 
  • Assistance for those with literacy or language barriers 
  • Private areas for completing sensitive information 
  • Clarification on any questions about the forms

If you need to complete forms before your appointment, please arrive 15–20 minutes prior to your scheduled appointment time.

Get Started Today

Complete your forms securely through our online patient portal to make your next visit faster and more convenient. If you have any questions or need assistance, our team is here to help every step of the way.

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