New Patients

patient form

NOTE: If the form does not allow you to type, click the "open with a different viewer" button within Adobe.

apple iconATTENTION APPLE USERS:

  1. Filling the form out online will not work
  2. Please print out this form
  3. Fill out form
  4. Return form to clinic at least one business day prior to your appointment via scan and email to info@kylept.com, fax to 512-268-0004, or in person.

apple iconATTENTION CHROME BROWSER USERS:

Chrome has it's own reader installed which prevents the form from returning to us. To fill out the form and submit it to us online, please do the following:

Step 1: Open Chrome and type "chrome:plugins" into the omnibox at the top.
Step 2: Scroll down and find Adobe Reader.
Step 3: Click the "Enable" link and the "always allowed" box to allow PDFs to load within Adobe Reader.
Step 4: Close and reopen the browser, and you're ready to go!

Note: You can always disable this plug-in later if you'd like.