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 Form
The Release of Information Form is required whenever you request your medical records at ARC be transferred to a non-ARC doctor. The form requires your signature. Once completed, please mail or deliver to the office where your medical records are kept.
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.
International Travel Medicine Questionnaire
Before you arrive for your first appointment with our Travel Medicine Services, please complete the International Travel Medicine Questionnaire. Please fax it to the attention of the Travel Medicine Nurse at fax number (512) 331-0960. If you have any questions, please call us at (512) 250-0803.