Patient Forms
Patient Forms & Information
Our goal is to make your first visit as enjoyable and seamless as possible, and we would like to have as much time as possible during your first visit to discuss your smile goals.
Please print & fill out the forms here and bring them to your appointment, or scan and email them to us at:
See you soon!
Here to Help
Questions about anything on the forms?
Call us and we can help: 512-258-7070.
Your Rights
You may request, in writing, a copy of your health information. Upon request, a more detailed and lengthy explanation of our policies is available.
Contact Officer
Dr. Brian Bolerjack
1907 Cypress Creek Road Suite 100
Cedar Park, TX 78613
We value your time, and we know you want to make the most of your visit. If you have any more questions about the initial consultation, please call us at 512-258-7070.
You can also schedule online by filling out our new patient contact form. Dr. Bolerjack and the team at Cedar Park Orthodontics are ready to provide the stunning smile you deserve!
Get Started Now
