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.
- Patient Registration
- Medical History
- Review of Systems
- Notice of Privacy Practice
- Authorization and Fee Letter
Please call 512-472-4011 for assistance or email us your questions to firstname.lastname@example.org
Medical Records Requests
To request a copy of your medical records:
- Download our Authorization to Use and Disclose Protected Health Information form.
- Complete form with signature and date.
- Submit form to Westlake Eye Specialists via fax or email.
Westlake office fax: 512-472-5057
Kyle office fax: 512-262-0360
- Please allow at least 7 business days for processing.
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.