Round Rock Dentist – NuYu Dental

New Patient Forms

Thank you for choosing NuYu Dental! Save Paper and Time with Online Registration by selecting below. This is the BEST way to register!



If you prefer to print and fill out the New Patient Registration form instead then go ahead and click below to download the form.  If you have dental insurance please fill out the Patient Insurance Information Form also. You can either fax (512) 579-0069 or email ( the forms to us.  If you prefer to bring them with you to your appointment, we suggest coming in 20 minutes prior to your appointment time so that we can put your information into our system.  The forms are in Adobe Acrobat format (.pdf). If you do not have Acrobat Reader, download it free here.

Click below ONLY if you prefer NOT to register online. However, registering online is the BEST way to register!

Adult Registration
Child or Youth Registration
Patient Insurance Information

If you have any problem registering online or getting these files to print properly, please call our office at (512) 579-0069, and we will gladly assist you, or mail/fax them to you.

We look forward to seeing you!

-From the NuYu Dental Team

Specials & Offers

New Patient Special

$150 for an Exam, X-Rays, Regular Cleaning, and Fluoride – a $349 Value (*in the absence of gum disease)

New Patients Only

Emergency Exam, and X-rays: $59


Free Consultation and $500 off
NuYu Dental of Round Rock, TX
Monday10:00 AM – 6:00 PM
Tuesday10:00 AM – 6:00 PM
Wednesday8:00 AM – 4:00 PM
Friday8:00 AM – 4:00 PM
SaturdayOpen Select Saturdays!