Below are our existing patient forms for registration, medical history, Optomap service, and more. Simply click the link and the PDF download should begin. 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

Tricare Patient Refraction Waiver (Tricare patients only)

Optomap Service – Elect or Decline (Routine vision exams only) Adult

Optomap Service – Elect or Decline (Routine vision exams only) Pediatric

Dry Eye & Refractive Surgery (LASIK/PRK) Forms

If you are coming in for a dry eye assessment or LASIK consultation, please download the respective form below, fill out, and bring in to your appointment.

Refractive Surgery Questionnaire

Dry Eye Questionnaire