Patient Forms

Promptly

Austin Eye is now using Promptly as our new, easy-to-use patient engagement solution! Promptly allows current patients to update your demographic information, sign consent forms, complete patient paperwork and more!

If you are a current patient, click on the button below to get started.

HIPAA Notices and Forms

• HIPAA Policy Notice
  (please read but it is not necessary to print-out)

• HIPAA – Records Release Form

All forms are in Adobe PDF format
Use this link to download the Free Adobe Acrobat S

Privacy Policy

We understand and value your privacy. Austin Eye does not sell or distribute contact information. All data collected through any website form is used only to provide you with better customer service.

At Austin Eye, we leverage cookie-based technology to group users into re-marketing audiences who have expressed an interest in our procedures by accessing key pages throughout our website. We do not collect any personally identifying information with this cookie. Audience members may be shown Austin Eye text and/or image ads on any 3rd party Internet sites or applications for a limited period of time. Visitors may opt out of re-marketing by visiting Ads Settings.