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Patient
Resources

Forms, insurance information, and financing options, all in one place.

Schedule Your Visit
CALL (512) 688-8210

Access New 
Patient FOrms

Save time at your first appointment by completing your new patient forms online before you arrive. Our forms are fully digital. Skip the clipboards, the paperwork, the waiting room scramble. Taking a few minutes to fill them out in advance means Dr. Rafa can spend more of your appointment time focused on your care, not your paperwork. Everything is secure, straightforward, and takes just a few minutes to complete.

New patient intake form

We work with your insurance so you don't have to

At My Favorite Dentist, we believe that navigating insurance shouldn't get in the way of getting the care you need. We're proud to be in-network with a wide range of major dental insurance providers, which means more of your treatment is covered, and less comes out of your pocket. If you have questions about your coverage or want to know what your plan includes before your first visit, our team is happy to walk you through it. No surprises, ever — that's the standard.

In-network providers:

Delta Dental Premier
Aetna
MetLife
Cigna
Humana
United Concordia
Principal
United Health Care
Zelis
DenteMax
DNOA
Guardian

Don't see your insurance listed? Give us a call at (512) 688-8210. We'll help you figure out your options.

Book Online

New to My Favorite Dentist?
Your smile starts here.

Think of your first visit as the foundation. Everything we do from here starts with what we learn on day one. Here's what $150 covers:

Comprehensive Cleaning

Exam & 
digital x-rays

3D CBCT
imaging

New patients only. Not valid in cases of periodontal disease. Not valid for use with insurance.

Schedule your visit

The easy way to stay ahead

My Favorite Dentist
Wellness program

The My Favorite Dentist Wellness Program make it easier to stay consistent with your care, know what you are paying, and keep small problems from becoming expensive ones. Each plan includes the preventive essentials, flexible monthly or annual payment options, and 20% off most additional procedures completed in our office. No confusing benefits. No waiting for approval. This is dental plan for taking better care of your smile all year long.

Healthy Smiles Plan

$36
/mo
$410/yr and save 5%
2 periodic exams
1 set of X-rays
2 professional cleanings
2 fluoride treatments
1 emergency exam with X-rays
20% off most additional in-office dental procedures
Get Started

Healthy Smiles Plus Plan

$54
/mo
$615/yr and save 5%
2 periodic exams
1 set of X-rays
Up to 4 professional cleanings
2 fluoride treatments
1 emergency exam with X-rays
20% off most additional in-office dental procedures
Get Started

Little Smiles Plan

$28
/mo
$319/yr and save 5%
2 periodic exams
1 set of X-rays
2 professional cleanings
2 flouride treatments
1 emergency exam with X-rays
20% off most additional in-office dental procedures
*Our Little Smiles Plan is designed for children age 13 and younger.
Get Started