Eye Care Patient Forms
The Eye Clinic of Austin uses a specialized practice management software program. We ask every patient to participate in maintaining the following:
- Reviewing registration information
- Providing current insurance cards (required at every visit)
- Providing drivers license or state issued identification (required at every visit)
- Allowing us to capture your photo for your account and chart (so the doctor can identify your electronic medical record)
Patients are encouraged to print and complete the registration forms prior to arrival at our office. Simply click the link and the PDF download should begin. Be sure to bring your insurance card and identification with you.
A new patient is one who has not received any professional services from Eye Clinic of Austin within the past three years.
Patient Registration – English
Patient Registration – Spanish Patient Authorization Form
Authorization for Use or Disclosure of Medical Record Information
If you cannot provide proof of insurance on the day of your visit we will require you to read and agree by signing the following policy: Proof of Insurance Waiver
If you have a managed care insurance plan you may be required to provide our office with a referral and/or authorization to visit our doctors. If you do not have a referral/authorization we will require you to read and agree by signing the following policy: Unauthorized Visit Waiver
An existing patient is a patient who has received professional services from Eye Clinic of Austin within the past three years.
Patient Annual Medical History
Patient Registration – English
Patient Registration – Spanish Patient Authorization Form
Authorization for Use or Disclosure of Medical Record Information
Awards & Recognition
Awards & Recognition
Testimonials
Eye Care Blog
Ensuring the health and well-being of our eyes demands careful attention and proactive measures. Among the most critical actions we can take is the use of sunglasses to shield our eyes from the sun’s damaging UV rays. This simple yet effective strategy plays a pivotal role in preventing potential harm and preserving our eye health […]
Prevent Eye Injuries This Spring with Protective Eyewear Spring welcomes warmer weather and longer days, enticing many to indulge in outdoor activities. However, this season also poses potential risks for eye injuries. Understanding the significance of protective eyewear is crucial for those with sensitive eyes. At Eye Clinic of Austin, our team is committed […]
In an evolving healthcare landscape, in-office surgery has become an appealing alternative to traditional hospital-based procedures, particularly for patients seeking quality eye care and various eye surgeries, such as corneal transplants or treatment for glaucoma. At Eye Clinic of Austin, our skilled eye doctors address concerns that are related to a range of eye conditions […]