Patient Forms

Complete your child’s patient forms in advance to save time when arriving at Longhorn Pediatric Dentistry and Orthodontics! If you have any questions about these forms or need to schedule your child’s appointment with our pediatric dentist in Austin, Texas, Dr. Reza Arzegar, give us a call at 512-892-2443. Our team will be happy to assist you.

English Forms

Children’s Health History Form
Patient Health History Form
Referral Form

Spanish Forms

Spanish Children’s Health History Form
Spanish Health History Form