PATIENT RESOURCES

Below are helpful resources for our patients regarding accepted insurance plans, patient registration or update forms, and general information for our practice.

To download a form to your computer, just right click on the link and select "Save Link As....." to begin downloading.  Download a copy of Adobe Acrobat if you do not already have one to print out the patient forms.

General Information

• Notice of Privacy Practices - HIPAA
• Notice about Disclosing Insurance
• Insurance Plans Accepted 

Patient Registration Forms (New patients should complete all 4 forms.  Established patients please complete the registration form if you have changes, and complete the medical history form annually.)

• Patient Registration Form
• Patient Finanicial Responsibility & Consent Form 
• Patient HIPAA Acknowledgment Form
• Patient Annual Medical History Form
• Patient Refraction Policy Acknowledgment

Medical Records Request Forms

• Request Records From Eye Clinic of Austin
• Request Records be sent to Eye Clinic of Austin

Contact Lens Information / Forms

• Patient Contact Lens Fitting Agreement Form