TFC fertility patient forms
Please use the printable forms below to register for your appointment within our Austin Fertility Clinics.
- Patient Demographics
- Insurance Information
- Authorization for Release of Confidential Information Patient/Partner
- Notice of Privacy Practices (NPP)
- Acknowledgment of Privacy Practices
- Release Records to TFC
- Release of Records from TFC
- Insurance Benefit Questionnaire for Patients
- TFC Email Consent
- Financial Policy
- Compassionate Care Application
- Compassionate Care Authorization
- Photo Social Media Release
- Out of Network Disclosure
- Outside Remote Monitoring Orders
Austin Fertility Surgery Center Patient Forms
Authorization to Release Medical Information to Partner_Family
Race and Ethnicity Questionnaire
AFSC Patient Admission History