
Existing Patient Forms
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
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