Downloadable forms are available for your convenience. You will need Adobe Acrobat Reader to view and print these forms.
For added convenience, you can print out and complete our new patient forms at home before visiting the dental office. Although it's not required, bringing completed forms with you will save time and help make your first appointment fast and easy.
Both the New Patient Information and Patient History forms here are Adobe Acrobat files. If you don't have it already, you'll need the free Acrobat Reader to view and print them.
Bring your completed forms with you and make your first dental appointment quick and simple. If you have any problems with the forms, simply call our office and we will gladly send or fax them to you.
Terms and Conditions (Terms of Service) For our Messaging System
Effective Date: December 3, 2024
By opting in to receive SMS messages from Tarrytown Dental, you agree to the following terms:
1. SMS Messaging ServiceBy providing your phone number, you consent to receive SMS messages, including updates, promotions, and other relevant content.2. Message FrequencyYou may receive [up to 4 messages per appointment made].3. Message and Data RatesMessage and data rates may apply based on your mobile carrier’s terms.4. Privacy PolicyYour information will be handled in accordance with our Privacy Policy, which can be viewed at [http://www.austindds.com/images/HippaNoticeofPrivacy.pdf ].5. Opt-Out InstructionsYou can opt out at any time by replying “STOP” to any SMS message. You may also contact us directly at [512-477-5100].6. LiabilityWe are not responsible for any charges, errors, or delays in SMS delivery caused by your carrier or third-party service providers.By opting in, you confirm that you are the owner or authorized user of the phone number provided and that you are at least 18 years old.
