Patient Forms

Patient forms will be provided to you at the time of scheduling or upon request. You may also call our office to receive forms in advance of your visit.

New Patients: Please arrive 15 minutes early if you have not completed your forms in advance. Bring a photo ID, your insurance card, and a list of current medications to every appointment. To request forms in advance, call us at 512.528.1144.

Your Paperwork at a Glance

New Patients

New Patient Registration

Basic demographic information, emergency contacts, and primary care provider information. Required for all new patients before your first visit.

New Patients

Medical History Form

Comprehensive eye and medical history including current medications, allergies, prior surgeries, and family eye health history.

Required

Insurance Information

Your insurance card details, policy holder information, and authorization for billing your plan for covered services.

Required

HIPAA Authorization

Authorizes Hill Country Eye Center to use and disclose your protected health information as required by federal law.

Forms Available Upon Scheduling

When you schedule an appointment, our team will provide you with the necessary forms. If you would like to receive them in advance to complete before your visit, simply call us at 512.528.1144 and we will send them to you.

Established patients can also message our care team and request forms or document updates through our secure patient portal. Ask our front desk for your portal activation link.

Call 512.528.1144All Patient Resources

Ready to Schedule Your Appointment?

Our team will walk you through everything you need before your visit. Call 512.528.1144 or request online.

Call 512.528.1144Schedule an Appointment