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
• 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
• AFSC Conditions
• AFSC PreAdmission Form
• Race and Ethnicity Questionnaire
• AFSC Email Consent
• AFSC Patient Admission History
• AFSC Rights and Responsibilities
• AFSC Notice of Privacy Practices