COVID-19 Return to School Guide
COVID-19 Office Policies
Info and Hours
Release of Records to Austex Ped
his form is used to get records from your previous pediatrician to us. You will need your previous pediatrician's contact information
Release of Records to New Physician
This form is used if you are transferring from our clinic to a new physician
This form is filled out at least once a year to get current contact and insurance information for your child
Financial Policies -
This form is filled out once a year to inform you of our financial policies.
This form is used by our doctors to get information about your past medical history
Parental Preauthorization for Minors
This form is used to allow people other than the parents to seek medical care for your child
Permission to Treat a Minor Without the Presence of a Parent/Guardian-
This form allows a parent or guardian of a patient that is 16 or 17 to consent to the patient's treatment without a parent or guardian present.