New patients

A little paperwork now,
a calmer first visit.

A little paperwork now,
a calmer first visit.

Fill out your forms online before your appointment. It takes about ten minutes and means more time with your dentist—and less time with a clipboard.

A child laughing in the dental chair with her mother and hygienist

Est. 2012

Caring for Austin smiles

3 Austin clinics

South Congress · Mueller · Westlake

Your forms

Four short forms,

about ten minutes total.

Registration happens right here on this page. The rest take a minute or two and can be completed at check-in if you prefer.

4 min

Patient registration

Contact details, preferred clinic and insurance information.

5 min

Medical & dental history

Medications, allergies and anything that makes dental visits hard for you.

1 min

Privacy & HIPAA acknowledgment

How we protect your health information and who can see it.

2 min

Financial & insurance policy

Written estimates, payment timing and what happens if coverage changes.

The Luma Dental reception and waiting room in South Austin

Walk in calm.

Walk in calm.

Walk out confident.

Walk out confident.

Walk out confident.

Register online

Tell us a little

before you arrive.

We’ll confirm your appointment, verify your insurance and have your chart ready when you walk in.

What to bring

A photo ID

Your insurance card, if you have one

A list of current medications

Recent X-rays from another dentist (optional)

Good to know

Before your

first appointment.

Questions about forms or your visit? Call (512) 555-0142—a real person picks up.

Is my information secure?

Yes. Forms are sent over an encrypted connection and stored in our HIPAA-compliant practice system. Only your care team can see them.

What if I can’t finish the forms online?

Can I fill out forms for my child?

How early should I arrive?

Ready when you are

Your healthiest smile starts with one easy visit.

New patients welcome. Most PPO plans accepted, and we’ll verify your benefits before you arrive.

New patients welcome. Most PPO plans accepted, and we’ll verify your benefits before you arrive.

Create a free website with Framer, the website builder loved by startups, designers and agencies.