accepting new smiles (512) 321-5437
696 Highway 71 West Bastrop, TX 78602
located by Lowe's, Home Depot & Chick-fil-a

On-Line Patient Forms

At Smiles University, we’re happy to offer a better, more convenient way of giving us the important information we need to know. Our secure online portal allows parents to complete their forms and turn them in before you and your child ever arrive at our practice. This method is effective, efficient, and much more convenient. Plus, as a paperless office, we’re proud to not have to waste resources!

Once you have scheduled an appointment, please click on the link below to fill out our New Patient forms!


New Patient Forms

New Patient English

New Patient Spanish



Insurance Forms

New Patient Insurance Information English New Patient Insurance Information Spanish