AUSTIN EYE CLINIC
AUSTIN LASER AND REFRACTIVE CENTER

FORMS:

Refractive Surgery Questionnaires

• Refractive surgery questionnaire 7-25-06
• Refractive Lens Exchange Questionaire 7-25-06

New Patient Forms

• Inside chart sheet (consult) 8-31-05
• HIPAA Sign-in sheet 1-24-07
• Direct Assignment of Benefits & Insurance Info 8-31-05
• AECA payment policy 8-31-05
• HIPAA privacy policy document

Established Patient Forms

• Half Sheet Update 1-24-07

All forms are in Adobe PDF format
Use this link to download the Free Adobe Acrobat Software

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