Release of Records to Austex Ped  - This 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

Registration Info - 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. 

Health History - 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

Phone: 512-454-0406

Fax: 512-454-4380


5100 W Highway 290

Bldg 2, Suite 110

Austin, Texas 78735

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