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Patient Paperwork/Resources

For your convenience, we have made a number of our forms available for patients. If you are new to our practice, we encourage you to download and print these forms. Filling them out in advance of your first visit will minimize the time you spend in the waiting room when you get here.

You may need to download the free Adobe Acrobat Reader in order to view these files.

Please call 512-472-4011 for assistance or email us your questions to info@westlakeeyes.com

 

Medical Records Requests

To request a copy of your medical records:

  1. Download our Authorization to Use and Disclose Protected Health Information form.
  2. Complete form with signature and date.
  3. Submit form to Westlake Eye Specialists via fax or email.

    Westlake office fax: 512-472-5057
    Kyle office fax: 512-262-0360
    Email: info@westlakeeyes.com
     
  4. Please allow at least 7 business days for processing.

Questions?

Patients and healthcare providers please contact 512-596-0292.
All other requests please contact our release of information service provider, BACTES, at 1-800-560-3800.