ADC Family Practice
Patient Forms.
Save time at the doctor's office and complete your patient forms ahead of time.  If you are a new patient, or are returning for your annual exam, just print the form below, complete and bring to your visit.

Family Practice New Adult Patient/Annual Form (PDF)

Medical Records Release

 

Click here to download Adobe Acrobat Reader for PDF forms.
The Austin Diagnostic Clinic, A Multi-Specialty Medical Clinic
 12221 MoPac Expressway North | Austin, TX 78758 | 512.901.1111
Serving the communities of Austin, Round Rock, Pflugerville, San Marcos and Central Texas since 1952
We accept Visa, Mastercard, Discover and American Express
Allergy & Immunology | Audiology | Cardiology | Dermatology | Diabetes Management Center | EasyCare Clinic
Endocrinology | Family Practice | Gastroenterology | Health Risk Management | Hematology/Oncology
Imaging Services | Internal Medicine | Menopause Center | Nephrology | Neurology | Obstetrics/Gynecology Ophthalmology | Optical Shop | Orthopedic Surgery | Otolaryngology | Outpatient Surgery Center | Pediatrics
Pediatric Urgent Care |  Physical Medicine & Rehabilitation | Podiatry | Pulmonary Disease | Rheumatology | Surgery Travel Clinic |  Urology
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This website and its contents may not be reproduced in whole or in part without written permission.  The Austin Diagnostic
Clinic and its associated logo are registered State of Texas trademarks and may not be used without written permission.