TFC fertility patient forms

Please use the printable forms below to register for your appointment with in our Austin Fertility Clinics.

• Patient Demographic Form
• Insurance Information
• Authorization for Release of Confidential Information
• Notice of Privacy Practices (NPP)
• Acknowledgement of Privacy Practices
• Records Records Release (Austin Location)
• Records Release (San Antonio Location)
• Release Records (New Braunfels Location)
• Insurance Benefit Questionnaire for Patients
• Email Consent
• Financial Policy
• Compassionate Care Application
• Compassionate Care Authorization
• Photo Social Media Release
• Out of Network Disclosure
• Instructions to View an Encrypted Email

Austin Fertility Surgery Center Patient Forms

• AFSC Authorization for Release of Confidential Information
• AFSC-Notice of Privacy Practices (revised 6.2017)
• AFSC Acknowledgment of Privacy Practices
• AFSC Conditions
• AFSC Pre-Admission Form
• Urology Pre-Admission Form
• AFSC Patient Rights and Responsibilities
• AFSC Authorization to Release Records
• AFSC Email Consent