Dilation and Visual Field Screening

Austin and San Antonio

New Braunfels

Acknowledgement of Privacy Practices

Notice of Privacy Practices - HIPAA

Registration and Health History, ​Additional Screenings

Bill of Rights

Bill of Rights

Acknowledgement of Privacy Practices

Dilation and Visual Field Screening

Formularios en Español (Spanish-language forms)

Notice of Privacy Practices - HIPAA

Open the files by clicking the PDF icon. Please print out the first 4 pages, sign, and bring with you to your eye appointment. The last page (Notice of Privacy Practices-HIPAA) is for you to read only. It details the HIPAA Compliance, which explains your rights and privacy as a patient.

Registration and Health History

Spanish Forms

Patient Forms