Patient Forms

To make preparing for your child’s pediatric dental appointment simpler, we provide patient resources to ensure you have access to important information regarding your son or daughter’s procedure:

Patient Forms

Patient Forms New Patients Form Medical History Form

Consent Forms

Treatment Consent Form

Authorization Forms

Disclosure Authorization Form

Schedule Your Little One’s Appointment

Pediatric Dentistry of Round Rock aims to make your child’s dental experience safe and comfortable through advanced technology and flexible payment options. Contact our office or call (512) 733-5311 to schedule an appointment.

Patient Forms

Patient Forms

Consent Forms

Authorization Forms

Schedule Your Little One’s Appointment

Start your Child's Smile Journey with Us