We make our forms available on-line to facilitate and expedite your visit to our offices.
Please click on the links below or on the left for additional instructions on the form and how and when to return it.
Release of Information (ROI) Forms
ESTABLISHED PATIENT: Transfer ARC Patient Records TO Non-ARC Physician
The Release of Information Form is required whenever you request that your medical records at ARC be transferred to a non-ARC doctor. The form requires your signature. Please follow the detailed instructions on the Release of Information page on our web site..
NEW PATIENT: Transfer Patient Records FROM Non-ARC Physician TO ARC Physician
For our new patient’s convenience, we also provide a release of information form to request the transfer of medical records from a non-ARC doctor to an ARC-doctor. If you are a new patient at Austin Regional Clinic and would like to transfer records from your non-ARC doctor to your ARC doctor, please use the Release of Information form below.
Patient Registration
The Patient Registration process and subsequent form provides us with the information to set up your billing account with ARC. Information required includes demographics of each patient, responsible part for payment, and any health insurance information applicable to the patient. This form is required for all new patients to ARC, please refer to our Patient Registration link for additional information.
Pediatric Health History
If your child is a new patient at ARC, please complete the associated from under Pediatric Health History and give it to the doctor or nurse at the first visit. This form asks for information about the child's health, including major illnesses, immunizations, and injuries.
Adult Health History
If you are a new patient at ARC, please refer to our Adult Health History link and complete the Adult Health History Form and give it to the doctor or nurse at the first visit. This form asks for information about your health, including major illnesses, injuries, and surgeries, as well as family health history.
Allergy History
If you are a new patient with an ARC Allergist, complete the Allergy History Form and mail it back to your allergist's office prior to your first visit.
Physical Therapy
Patients will have to fill out physical therapy patients forms also available in en español below prior to the first physical therapy visit. Please bring these with you already completed or be prepared to arrive approximately 15 minutes before your scheduled appointment time.
Orthopedic Health History
If you are a new patient with an ARC Orthopedist, complete the Orthopedic Health History form and give it to the doctor or nurse at your first orthopedic visit.