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

Notice of Privacy Practices (NPP)

 

Patient Demographics

Insurance Information

Authorization for Release of Confidential Information Patient/Partner

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

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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