{"id":5026,"date":"2023-06-13T11:41:34","date_gmt":"2023-06-13T16:41:34","guid":{"rendered":"https:\/\/www.smilesofaustin.net\/austin-tx\/?page_id=5026"},"modified":"2026-04-15T20:01:16","modified_gmt":"2026-04-16T01:01:16","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/www.smilesofaustin.net\/austin-tx\/new-patients\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"<h3>Pediatric Dentistry<\/h3>\n<ul>\n<li><a href=\"\/austin-tx\/wp-content\/uploads\/sites\/2\/2023\/11\/NP-Pedo-Forms-Fillable.pdf\" target=\"_blank\" rel=\"noopener\">Child Forms (Under 18 years old)<\/a><\/li>\n<li><a href=\"\/austin-tx\/wp-content\/uploads\/sites\/2\/2023\/11\/NP-Infant-Frenectomy-Form-Fillable.pdf\" target=\"_blank\" rel=\"noopener\">Frenectomy Only Forms (Infants)<\/a><\/li>\n<\/ul>\n<h3>Orthodontics<\/h3>\n<ul>\n<li><a href=\"\/austin-tx\/wp-content\/uploads\/sites\/2\/2023\/06\/np-ortho-adult.pdf\" target=\"_blank\" rel=\"noopener\">Adult Forms (18+ years old)<\/a><\/li>\n<li><a href=\"\/austin-tx\/wp-content\/uploads\/sites\/2\/2023\/06\/np-ortho-child.pdf\" target=\"_blank\" rel=\"noopener\">Child Forms (Under 18 years old)<\/a><\/li>\n<\/ul>\n<h3>Sedadent<\/h3>\n<ul>\n<li><a href=\"\/austin-tx\/wp-content\/uploads\/sites\/2\/2023\/06\/sedadent-adult.pdf\" target=\"_blank\" rel=\"noopener\">Adult Forms (18+ years old)<\/a><\/li>\n<li><a href=\"\/austin-tx\/wp-content\/uploads\/sites\/2\/2024\/03\/2024-SedaDent-PPW-PDF-Fillable.pdf\" target=\"_blank\" rel=\"noopener\">Child Forms (Under 18 years old)<\/a><\/li>\n<\/ul>\n<p>Please download the PDF from above, fill it out, save to your desktop, then upload the forms below. Thank you!<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f5051-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"5051\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/austin-tx\/wp-json\/wp\/v2\/pages\/5026#wpcf7-f5051-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"5051\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5051-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"file-upload\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf,.doc,.docx\" aria-invalid=\"false\" type=\"file\" name=\"file-upload\" \/><\/span>\n<\/p>\n<p><div class=\"cf7-cf-turnstile\" style=\"margin-top: 0px; margin-bottom: -15px;\"> <div id=\"cf-turnstile-cf7-2336696650\" class=\"cf-turnstile\" data-sitekey=\"0x4AAAAAAC5OCW3r9F399ld3\" data-theme=\"light\" data-language=\"auto\" data-size=\"normal\" data-retry=\"auto\" data-retry-interval=\"1000\" data-refresh-expired=\"auto\" data-refresh-timeout=\"auto\" data-action=\"contact-form-7\" data-callback=\"turnstileCF7Callback\" data-appearance=\"always\"><\/div> <script>document.addEventListener(\"DOMContentLoaded\", function() { setTimeout(function(){ var e=document.getElementById(\"cf-turnstile-cf7-2336696650\"); if(e&&!e.innerHTML.trim()){turnstile.render(e, {sitekey:\"0x4AAAAAAC5OCW3r9F399ld3\"});} }, 200); });<\/script> <br class=\"cf-turnstile-br cf-turnstile-br-cf7-2336696650\"> <style>#cf-turnstile-cf7-2336696650 { margin-left: -15px; }<\/style> <script>document.addEventListener(\"DOMContentLoaded\",function(){document.querySelectorAll('.wpcf7-form').forEach(function(e){e.addEventListener('submit',function(){if(document.getElementById('cf-turnstile-cf7-2336696650')){setTimeout(function(){turnstile.reset('#cf-turnstile-cf7-2336696650');},1000)}})})});<\/script> <\/div><br\/><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Upload Form\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Pediatric Dentistry Child Forms (Under 18 years old) Frenectomy Only Forms (Infants) Orthodontics Adult Forms (18+ years old) Child Forms (Under 18 years old) Sedadent Adult Forms (18+ years old) Child Forms (Under 18 years old) Please download the PDF from above, fill it out, save to your desktop, then upload the forms below. Thank&#8230;<\/p>\n","protected":false},"author":30,"featured_media":0,"parent":2492,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-5026","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.smilesofaustin.net\/austin-tx\/wp-json\/wp\/v2\/pages\/5026","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.smilesofaustin.net\/austin-tx\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.smilesofaustin.net\/austin-tx\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.smilesofaustin.net\/austin-tx\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/www.smilesofaustin.net\/austin-tx\/wp-json\/wp\/v2\/comments?post=5026"}],"version-history":[{"count":0,"href":"https:\/\/www.smilesofaustin.net\/austin-tx\/wp-json\/wp\/v2\/pages\/5026\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.smilesofaustin.net\/austin-tx\/wp-json\/wp\/v2\/pages\/2492"}],"wp:attachment":[{"href":"https:\/\/www.smilesofaustin.net\/austin-tx\/wp-json\/wp\/v2\/media?parent=5026"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}